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1427515048
ISABEL REBACK
SALT LAKE CITY, UT
NPI
1427515048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA 61365864)
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2019-03-01
Last Update Date
2022-10-31
Business Address
ISABEL REBACK
51 W 3900 S
SALT LAKE CITY, UT 84107-1431
Phone number: 801-587-2370
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Mailing Address
ISABEL REBACK
818 STEWART ST
SEATTLE, WA 98101-3311
Phone number: 206-987-5223
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