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1245905116
MONETA MACK
BRIGHAM CITY, UT
NPI
1245905116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-08-12
Last Update Date
2021-08-12
Business Address
MONETA MACK
60 S MAIN ST STE B0001
BRIGHAM CITY, UT 84302-6795
Phone number: 435-239-8768
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Mailing Address
MONETA MACK
60 S MAIN ST STE B0001
BRIGHAM CITY, UT 84302-6795
Phone number:
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