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1043589427
MARK MILLER
SALT LAKE CITY, UT
NPI
1043589427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-12-14
Last Update Date
2011-12-14
Business Address
-- MARK MILLER
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-4257
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Mailing Address
-- MARK MILLER
1905 S 2000 E
SALT LAKE CITY, UT 84108-3144
Phone number: 435-669-4020
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