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1093237869
MARISSA LYNN FOTHERINGHAM
SALT LAKE CITY, UT
NPI
1093237869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-07-12
Last Update Date
2019-08-12
Business Address
MARISSA LYNN FOTHERINGHAM
515 S 700 E STE 2A
SALT LAKE CITY, UT 84102-2855
Phone number: 801-935-4171
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Mailing Address
MARISSA LYNN FOTHERINGHAM
515 S 700 E STE 2A
SALT LAKE CITY, UT 84102-2855
Phone number: 801-935-4171
Copy
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