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1306427588
SAMUEL L MADSEN
SALT LAKE CITY, UT
NPI
1306427588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-04-19
Last Update Date
2021-04-19
Business Address
SAMUEL L MADSEN
515 S 700 E STE 2A
SALT LAKE CITY, UT 84102-2855
Phone number: 801-935-4171
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Mailing Address
SAMUEL L MADSEN
5097 W JARRAD RD
KEARNS, UT 84118-6768
Phone number:
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