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1184306375
MACKENZI KOUGH
TOOELE, UT
NPI
1184306375
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2023-08-07
Last Update Date
2023-11-10
Business Address
MACKENZI KOUGH
100 S 1000 W
TOOELE, UT 84074-4010
Phone number: 435-843-3520
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Mailing Address
MACKENZI KOUGH
4460 S HIGHLAND DR STE 120
SALT LAKE CITY, UT 84124-3550
Phone number: 801-538-6155
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