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1467294686
JUSTIN ROSE
SALT LAKE CITY, UT
NPI
1467294686
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 12835827-3501)
Enumeration Date
2024-06-10
Last Update Date
2024-06-10
Business Address
JUSTIN ROSE
720 E 5TH AVE APT 7
SALT LAKE CITY, UT 84103-3650
Phone number: 913-481-2538
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Mailing Address
JUSTIN ROSE
720 E 5TH AVE APT 7
SALT LAKE CITY, UT 84103-3650
Phone number: 913-481-2538
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