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1366946261
KELSEY MARIE WISS
TAYLORSVILLE, UT
NPI
1366946261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder
Enumeration Date
2018-03-23
Last Update Date
2018-03-23
Business Address
KELSEY MARIE WISS
3809 W 6200 S
TAYLORSVILLE, UT 84129-3725
Phone number: 801-963-4317
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Mailing Address
KELSEY MARIE WISS
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number:
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