TIP BOUNYASANE

WEST JORDAN, UT
NPI1285409565
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: UT  171M00000X)
Enumeration Date2023-11-16
Last Update Date2023-11-16
Business Address
TIP BOUNYASANE
7901 S 3200 W # 632
WEST JORDAN, UT 84088-5226
Phone number: 801-556-4037
Mailing Address
TIP BOUNYASANE
PO BOX 632
WEST JORDAN, UT 84084-0632
Phone number: 801-556-4037
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