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1235449539
HERU HENDARTO
SALT LAKE CITY, UT
NPI
1235449539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: UT 4841650-4102)
Enumeration Date
2010-10-20
Last Update Date
2010-10-20
Business Address
-- HERU HENDARTO MD,MS, CCC-SLP
755 JUSTIN KAY CT
SALT LAKE CITY, UT 84104-1619
Phone number: 801-599-7471
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Mailing Address
-- HERU HENDARTO MD,MS, CCC-SLP
755 JUSTIN KAY CT
SALT LAKE CITY, UT 84104-1619
Phone number:
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