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1447558176
NICOLE LYNN FORBUSH
SALT LAKE CITY, UT
NPI
1447558176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 60995003503)
Enumeration Date
2011-03-04
Last Update Date
2011-03-04
Business Address
Miss NICOLE LYNN FORBUSH SSW
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7100
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Mailing Address
Miss NICOLE LYNN FORBUSH SSW
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7100
Copy
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