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1033675707
THEODORE NICKOLAS TRUBY
SALT LAKE CITY, UT
NPI
1033675707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: UT RBT-18-73731)
Enumeration Date
2019-02-18
Last Update Date
2019-02-18
Business Address
THEODORE NICKOLAS TRUBY Rbt
515 S 700 E
SALT LAKE CITY, UT 84102-2801
Phone number: 940-923-6283
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Mailing Address
THEODORE NICKOLAS TRUBY Rbt
1530 W PONDEROSA LN
WEST JORDAN, UT 84088-9241
Phone number: 940-923-6283
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