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1598174385
PARKER KEONI ANDERSON
LAYTON, UT
NPI
1598174385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT 5894886-6006)
Enumeration Date
2014-08-06
Last Update Date
2014-08-06
Business Address
-- PARKER KEONI ANDERSON ASUDC
1904 W GORDON AVE
LAYTON, UT 84041-7232
Phone number: 801-444-0794
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Mailing Address
-- PARKER KEONI ANDERSON ASUDC
1904 W GORDON AVE
LAYTON, UT 84041-7232
Phone number: 801-444-0794
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