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1457888125
TARA BRAVO
LAYTON, UT
NPI
1457888125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2017-05-12
Last Update Date
2017-05-12
Business Address
-- TARA BRAVO
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060
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Mailing Address
-- TARA BRAVO
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060
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