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1154815009
FREDRICK PETER NTABWOBA
SALT LAKE CITY, UT
NPI
1154815009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-06-14
Last Update Date
2018-06-14
Business Address
FREDRICK PETER NTABWOBA
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 801-263-7101
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Mailing Address
FREDRICK PETER NTABWOBA
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 801-263-7101
Copy
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