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1063254852
MARSHALL BRUCE
SALT LAKE CITY, UT
NPI
1063254852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-06-11
Last Update Date
2024-06-11
Business Address
MARSHALL BRUCE
252 W BROOKLYN AVE
SALT LAKE CITY, UT 84101-3024
Phone number: 801-363-9400
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Mailing Address
MARSHALL BRUCE
1875 S REDWOOD RD
SALT LAKE CITY, UT 84104-5112
Phone number: 801-363-9400
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