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1215661772
MAKELLE ISRAELSEN
LOGAN, UT
NPI
1215661772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: UT 12927551-3503)
Enumeration Date
2022-07-11
Last Update Date
2022-07-11
Business Address
MAKELLE ISRAELSEN
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-752-0750
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Mailing Address
MAKELLE ISRAELSEN
2192 S 1450 W
WELLSVILLE, UT 84339-6733
Phone number: 435-363-5322
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