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1427623453
TYLER M VAN PATTEN
SALT LAKE CITY, UT
NPI
1427623453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-05-21
Last Update Date
2021-05-21
Business Address
TYLER M VAN PATTEN
515 S 700 E STE 2A
SALT LAKE CITY, UT 84102-2855
Phone number: 801-935-4171
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Mailing Address
TYLER M VAN PATTEN
11891 S MOTHER LODE CT
PROVO, UT 84604
Phone number:
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