OA MISIFOA

TAYLORSVILLE, UT
NPI1164141784
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2022-08-25
Last Update Date2025-10-06
Business Address
OA MISIFOA
5558 S 1900 W
TAYLORSVILLE, UT 84129-9007
Phone number: 801-255-5131
Mailing Address
OA MISIFOA
6013 S REDWOOD RD
SALT LAKE CITY, UT 84123-5220
Phone number: 801-255-5131
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