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1184134868
CHARMELE MELISSA NISH
DRAPER, UT
NPI
1184134868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-10-06
Last Update Date
2018-03-17
Business Address
CHARMELE MELISSA NISH ASUDC
1481 E PIONEER RD
DRAPER, UT 84020-9623
Phone number: 801-679-6669
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Mailing Address
CHARMELE MELISSA NISH ASUDC
PO BOX 1078
DRAPER, UT 84020-1078
Phone number:
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