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1407588312
LYNETTE RANDALL
MIDVALE, UT
NPI
1407588312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 12224267-3502)
Enumeration Date
2022-06-29
Last Update Date
2022-06-29
Business Address
LYNETTE RANDALL
6770 S 900 E STE 105
MIDVALE, UT 84047-1710
Phone number: 801-305-3171
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Mailing Address
LYNETTE RANDALL
472 E 8TH AVE
SALT LAKE CITY, UT 84103-3151
Phone number: 801-906-1784
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