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1033959655
LUCAS ISOM
CEDAR CITY, UT
NPI
1033959655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-05-30
Last Update Date
2024-05-30
Business Address
LUCAS ISOM
1870 N MAIN ST
CEDAR CITY, UT 84721-7744
Phone number: 801-255-5131
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Mailing Address
LUCAS ISOM
6013 S REDWOOD RD
TAYLORSVILLE, UT 84123-5220
Phone number:
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