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1497221980
TYLER SCOTT HANSEN
PAYSON, UT
NPI
1497221980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT 10393114-6018)
Enumeration Date
2018-10-23
Last Update Date
2018-10-23
Business Address
Mr. TYLER SCOTT HANSEN ASUDC
996 W 800 S
PAYSON, UT 84651-2766
Phone number: 801-465-5111
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Mailing Address
Mr. TYLER SCOTT HANSEN ASUDC
996 W 800 S
PAYSON, UT 84651-2766
Phone number:
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