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1093013518
SAMUEL WORTHEN
SALT LAKE CITY, UT
NPI
1093013518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: UT 9410463-6004)
Enumeration Date
2011-03-08
Last Update Date
2024-07-31
Business Address
SAMUEL WORTHEN
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 888-949-4864
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Mailing Address
SAMUEL WORTHEN
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 888-949-4864
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