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1184182552
MINDY GENE MANGELSON
SALT LAKE CITY, UT
NPI
1184182552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT 10406930-6005)
Enumeration Date
2019-03-05
Last Update Date
2019-03-05
Business Address
MINDY GENE MANGELSON CSUDC
449 E 2100 S
SALT LAKE CITY, UT 84115-2237
Phone number: 801-596-2111
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Mailing Address
MINDY GENE MANGELSON CSUDC
449 E 2100 S
SALT LAKE CITY, UT 84115-2237
Phone number: 801-596-2111
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