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1518392893
SARA MARIE MICKELSON
SALT LAKE CITY, UT
NPI
1518392893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: UT 1062741)
Enumeration Date
2013-09-05
Last Update Date
2013-09-05
Business Address
-- SARA MARIE MICKELSON R.D., M.B.A.
1990 S MCCLELLAND ST APT 15
SALT LAKE CITY, UT 84105-3456
Phone number: 310-529-2455
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Mailing Address
-- SARA MARIE MICKELSON R.D., M.B.A.
1990 S MCCLELLAND ST APT 15
SALT LAKE CITY, UT 84105-3456
Phone number: 310-529-2455
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