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1114389624
MERSADE REANNA MANIS
BOUNTIFUL, UT
NPI
1114389624
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2016-03-23
Last Update Date
2022-01-04
Business Address
MERSADE REANNA MANIS RBT
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010-4995
Phone number: 801-683-1062
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Mailing Address
MERSADE REANNA MANIS RBT
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010-4995
Phone number: 801-683-1062
Copy
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