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1114043072
RANDY RAY JOHNSON
SOUTH JORDAN, UT
NPI
1114043072
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: UT 117085-3902)
Enumeration Date
2007-03-22
Last Update Date
2007-07-08
Business Address
Mr. RANDY RAY JOHNSON
1226 W SOUTH JORDAN PKWY
SOUTH JORDAN, UT 84095
Phone number: 801-302-1155
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Mailing Address
Mr. RANDY RAY JOHNSON
8636 S 1700 E
SANDY, UT 84093-1412
Phone number: 801-879-5579
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