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1588211585
ROBERTO LARA
WEST JORDAN, UT
NPI
1588211585
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2019-08-23
Last Update Date
2019-08-23
Business Address
ROBERTO LARA
7625 S 3200 W
WEST JORDAN, UT 84084-2800
Phone number: 801-915-0359
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Mailing Address
ROBERTO LARA
7625 S 3200 W
WEST JORDAN, UT 84084-2800
Phone number: 801-915-0359
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