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1306910971
BEVERLY LOUISE HOMER
BOUNTIFUL, UT
NPI
1306910971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: UT 5870932-4102)
Enumeration Date
2006-11-17
Last Update Date
2007-07-08
Business Address
Miss BEVERLY LOUISE HOMER MS CCC SLP
401 S 400 E BEVERLY HOMER MOUNTAIN LAND REHABILITATION
BOUNTIFUL, UT 84010
Phone number: 801-397-8151
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Mailing Address
Miss BEVERLY LOUISE HOMER MS CCC SLP
401 S 400 E BEVERLY HOMER MOUNTAIN LAND REHABILITATION
BOUNTIFUL, UT 84010
Phone number: 801-397-8163
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