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1184159022
NICOLE LEE VAN TASSELL
OGDEN, UT
NPI
1184159022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
(Licence: UT 82-1257775)
Enumeration Date
2017-04-28
Last Update Date
2017-04-28
Business Address
Mrs. NICOLE LEE VAN TASSELL
1496 EAST 5600 SOUTH UNIT 6
OGDEN, UT 84403
Phone number: 801-479-7026
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Mailing Address
Mrs. NICOLE LEE VAN TASSELL
1496 EAST 5600 SOUTH UNIT 6
OGDEN, UT 84403
Phone number: 801-479-7026
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