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1154813285
ALYSSA CLARK
SALT LAKE CITY, UT
NPI
1154813285
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-06-04
Last Update Date
2018-06-04
Business Address
ALYSSA CLARK
358 S 700 E STE B307
SALT LAKE CITY, UT 84102-2161
Phone number: 801-935-5796
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Mailing Address
ALYSSA CLARK
358 S 700 E STE B307
SALT LAKE CITY, UT 84102-2161
Phone number: 801-935-5796
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