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1003521709
NATHAN ROBERT LILLY
FARMINGTON, UT
NPI
1003521709
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: UT 10263070-4102)
Enumeration Date
2023-01-17
Last Update Date
2024-10-29
Business Address
NATHAN ROBERT LILLY CCC-SLP
45 E STATE ST
FARMINGTON, UT 84025-2344
Phone number: 801-402-5261
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Mailing Address
NATHAN ROBERT LILLY CCC-SLP
45 E. STATE STREET
FARMINGTON, UT 84025
Phone number: 801-971-0545
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