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1053952879
MELISSA GRACE TAN
SALT LAKE CITY, UT
NPI
1053952879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-10-02
Last Update Date
2019-10-02
Business Address
MELISSA GRACE TAN
515 S 700 E # 2
SALT LAKE CITY, UT 84102-2801
Phone number: 800-434-8923
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Mailing Address
MELISSA GRACE TAN
515 S 700 E # 2
SALT LAKE CITY, UT 84102-2801
Phone number:
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