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1215278254
STANLEY LEONE SUGUTURAGA
OREM, UT
NPI
1215278254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: UT 8007001-3502)
Enumeration Date
2013-03-14
Last Update Date
2013-03-14
Business Address
MR. STANLEY LEONE SUGUTURAGA C.S.W.
165 S. 522 W.
OREM, UT 84058-5311
Phone number: 801-765-8817
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Mailing Address
MR. STANLEY LEONE SUGUTURAGA C.S.W.
165 S. 522 W.
OREM, UT 84058-5311
Phone number: 801-765-8817
Copy
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