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1093069155
SEAN TIMOTHY GREEN
SALT LAKE CITY, UT
NPI
1093069155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2012-10-28
Last Update Date
2012-10-28
Business Address
-- SEAN TIMOTHY GREEN
252 S 500 E
SALT LAKE CITY, UT 84102-2030
Phone number: 801-236-7738
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Mailing Address
-- SEAN TIMOTHY GREEN
11714 S SUN TEA WAY
SOUTH JORDAN, UT 84095-8182
Phone number: 801-386-3626
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