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1093312746
JERICHO CARLSON
SALT LAKE CITY, UT
NPI
1093312746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-10-06
Last Update Date
2020-10-06
Business Address
JERICHO CARLSON
3006 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84106-6004
Phone number: 801-647-3920
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Mailing Address
JERICHO CARLSON
3006 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84106-6004
Phone number: 801-647-3920
Copy
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