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1518973403
KIFFANIE KINGHORN
LAYTON, UT
NPI
1518973403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT 378623-6006)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
-- KIFFANIE KINGHORN
2250 ROBINS DR
LAYTON, UT 84041-1140
Phone number: 801-776-4800
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Mailing Address
-- KIFFANIE KINGHORN
PO BOX 689
FARMINGTON, UT 84025-0689
Phone number:
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