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1396046223
MICHAEL LOUIS RAY
SALT LAKE CITY, UT
NPI
1396046223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT 6752488-6006)
Enumeration Date
2010-11-09
Last Update Date
2010-11-09
Business Address
-- MICHAEL LOUIS RAY LSAC
974 EAST SOUTH TEMPLE
SALT LAKE CITY, UT 84102
Phone number: 801-533-0070
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Mailing Address
-- MICHAEL LOUIS RAY LSAC
974 E SOUTH TEMPLE
SALT LAKE CITY, UT 84102-1413
Phone number: 801-533-0070
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