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1235104225
DAVID GERALD ERICKSEN
SALT LAKE CITY, UT
NPI
1235104225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: UT 113012-2501)
Enumeration Date
2006-02-22
Last Update Date
2007-07-08
Business Address
Dr. DAVID GERALD ERICKSEN Ph.D.
1414 E 4500 S SUITE 4
SALT LAKE CITY, UT 84117-4228
Phone number: 801-272-8957
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Mailing Address
Dr. DAVID GERALD ERICKSEN Ph.D.
1414 E 4500 S SUITE 4
SALT LAKE CITY, UT 84117-4228
Phone number: 801-272-8957
Copy
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