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1184926198
LORRI K LAKE
SALT LAKE CITY, UT
NPI
1184926198
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: UT 5090670-6009)
Enumeration Date
2010-11-23
Last Update Date
2010-11-23
Business Address
-- LORRI K LAKE CPCI
177 PRICE AVE
SALT LAKE CITY, UT 84115-4345
Phone number: 801-269-7564
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Mailing Address
-- LORRI K LAKE CPCI
177 PRICE AVE
SALT LAKE CITY, UT 84115-4345
Phone number: 801-269-7564
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