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1538514989
RAEGAN OWEN VELASQUEZ
SALT LAKE CITY, UT
NPI
1538514989
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT 101YA0400X)
Enumeration Date
2016-05-03
Last Update Date
2016-08-10
Business Address
-- RAEGAN OWEN VELASQUEZ
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-573-3213
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Mailing Address
-- RAEGAN OWEN VELASQUEZ
129 S 700 E APARTMENT 5
SALT LAKE CITY, UT 84102-4237
Phone number: 801-647-4255
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