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1497456479
SAMUELLE MENDOZA
TAYLORSVILLE, UT
NPI
1497456479
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-03-15
Last Update Date
2023-11-16
Business Address
SAMUELLE MENDOZA
5558 S 1900 W
TAYLORSVILLE, UT 84129-9007
Phone number: 801-255-5131
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Mailing Address
SAMUELLE MENDOZA
6013 S REDWOOD RD
TAYLORSVILLE, UT 84123-5220
Phone number:
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