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1326138918
LISA DAHLSTROM
SALT LAKE CITY, UT
NPI
1326138918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: UT 112444-4101)
Enumeration Date
2006-10-13
Last Update Date
2021-10-18
Business Address
LISA DAHLSTROM CCC-A
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-8915
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Mailing Address
LISA DAHLSTROM CCC-A
PO BOX 581094
SALT LAKE CITY, UT 84158-1094
Phone number: 801-213-3800
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