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1134627086
MELANIE JANE FACKRELL
OREM, UT
NPI
1134627086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-01-25
Last Update Date
2018-01-25
Business Address
MELANIE JANE FACKRELL M.Ed.
475 W 260 N
OREM, UT 84057-1970
Phone number: 801-221-9930
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Mailing Address
MELANIE JANE FACKRELL M.Ed.
475 W 260 N
OREM, UT 84057-1970
Phone number: 801-221-9930
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