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1093076200
TRAVIS SANDERSON
KAMAS, UT
NPI
1093076200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: UT 9106771-6004)
Enumeration Date
2012-06-04
Last Update Date
2018-03-09
Business Address
TRAVIS SANDERSON
228 W 200 S STE 2E
KAMAS, UT 84036-9010
Phone number: 801-360-6955
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Mailing Address
TRAVIS SANDERSON
596 ASH CT
KAMAS, UT 84036-9275
Phone number:
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