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1417459439
LORE'AL GOODRICH
AMERICAN FORK, UT
NPI
1417459439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: UT 296189-4202)
Enumeration Date
2018-03-06
Last Update Date
2018-03-06
Business Address
LORE'AL GOODRICH
350 E 300 N
AMERICAN FORK, UT 84003-1717
Phone number: 801-756-5293
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Mailing Address
LORE'AL GOODRICH
206 N 2100 W
SALT LAKE CITY, UT 84116-4740
Phone number:
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