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1053490524
JULIA V LIDGARD
SALT LAKE CITY, UT
NPI
1053490524
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: UT 313820-4102)
Enumeration Date
2006-11-03
Last Update Date
2021-12-15
Business Address
JULIA V LIDGARD
417 WAKARA WAY
SALT LAKE CITY, UT 84108-1436
Phone number: 801-581-2121
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Mailing Address
JULIA V LIDGARD
2865 EVERGREEN AVE
SALT LAKE CITY, UT 84109-3176
Phone number: 801-463-7582
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