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1477999118
CAVETT S ISHIHARA
SLC, UT
NPI
1477999118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT 1992148779)
Enumeration Date
2013-05-21
Last Update Date
2013-05-21
Business Address
Mr. CAVETT S ISHIHARA MFTI
350 E 2100 S
SLC, UT 84115
Phone number: 801-428-3422
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Mailing Address
Mr. CAVETT S ISHIHARA MFTI
1089 S 2220 W
LEHI, UT 84043
Phone number: 815-909-7440
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