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1073158002
LAUREN CARISSA LANGLEY
WEST JORDAN, UT
NPI
1073158002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-11-13
Last Update Date
2019-11-13
Business Address
Ms. LAUREN CARISSA LANGLEY
6902 S CRYSTAL DOWNS LN APT 24V
WEST JORDAN, UT 84084-1885
Phone number: 801-562-0676
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Mailing Address
Ms. LAUREN CARISSA LANGLEY
515 S 700 E STE 2A
SLC, UT 84102-2855
Phone number: 801-935-4171
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