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1023625076
SAMANTHA SULLIVAN
TAYLORSVILLE, UT
NPI
1023625076
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-09-24
Last Update Date
2020-09-24
Business Address
SAMANTHA SULLIVAN
6013 S REDWOOD RD
TAYLORSVILLE, UT 84123-5220
Phone number: 801-255-5131
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Mailing Address
SAMANTHA SULLIVAN
6013 S REDWOOD RD
TAYLORSVILLE, UT 84123-5220
Phone number: 801-255-5131
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