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1083201263
IRIS IVETTE NIETO
OREM, UT
NPI
1083201263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 12060286-3502)
Enumeration Date
2020-12-22
Last Update Date
2020-12-22
Business Address
IRIS IVETTE NIETO CSW
1256 S STATE ST STE 201
OREM, UT 84097-8239
Phone number: 801-376-4140
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Mailing Address
IRIS IVETTE NIETO CSW
593 S 880 W
SPANISH FORK, UT 84660-5727
Phone number: 801-376-4140
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