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1063012409
RISPAH OTIENO
TOOELE, UT
NPI
1063012409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2020-10-26
Last Update Date
2022-12-28
Business Address
RISPAH OTIENO
100 S 1000 W
TOOELE, UT 84074-4010
Phone number: 888-949-4864
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Mailing Address
RISPAH OTIENO
4460 S HIGHLAND DR
MILLCREEK, UT 84124-3543
Phone number: 888-949-4864
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