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1164801551
MANDALINA MCCLURE
SALT LAKE CITY, UT
NPI
1164801551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 8842832-6009)
Enumeration Date
2015-05-19
Last Update Date
2015-05-19
Business Address
-- MANDALINA MCCLURE
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7138
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Mailing Address
-- MANDALINA MCCLURE
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7138
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