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1194003186
KRISTOFER LUNDEBERG
SALT LAKE CITY, UT
NPI
1194003186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041S0200X Social Worker, School
(Licence: UT 7920999-3502)
Enumeration Date
2011-07-26
Last Update Date
2011-07-26
Business Address
Mr. KRISTOFER LUNDEBERG C.S.W.
1578 W 1700 S SUITE #200
SALT LAKE CITY, UT 84104-3470
Phone number: 801-972-2711
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Mailing Address
Mr. KRISTOFER LUNDEBERG C.S.W.
1578 W 1700 S SUITE #200
SALT LAKE CITY, UT 84104-3470
Phone number: 801-972-2711
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