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1255119012
ASHLEY PARK
SALT LAKE CITY, UT
NPI
1255119012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133VN1004X Dietitian, Registered, Nutrition, Pediatric
(Licence: UT 14189727-4901)
Enumeration Date
2023-09-21
Last Update Date
2024-11-25
Business Address
ASHLEY PARK
857 E 200 S
SALT LAKE CITY, UT 84102-2317
Phone number: 801-487-3276
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Mailing Address
ASHLEY PARK
857 E 200 S
SALT LAKE CITY, UT 84102-2317
Phone number: 801-487-3276
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