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1033693445
MEGAN ISRAELSEN
LOGAN, UT
NPI
1033693445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: UT 10950506-4104)
Enumeration Date
2018-09-20
Last Update Date
2018-09-20
Business Address
MEGAN ISRAELSEN
356 N 300 W APT 6
LOGAN, UT 84321-3855
Phone number: 303-829-2796
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Mailing Address
MEGAN ISRAELSEN
356 N 300 W APT 6
LOGAN, UT 84321-3855
Phone number: 303-829-2796
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