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1619267549
ROGER DALE GISSEMAN
SALT LAKE CITY, UT
NPI
1619267549
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: UT 3162878-6004)
Enumeration Date
2011-04-12
Last Update Date
2011-04-12
Business Address
Dr. ROGER DALE GISSEMAN Ph.D.
177 PRICE AVE
SALT LAKE CITY, UT 84115-4345
Phone number: 385-468-4531
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Mailing Address
Dr. ROGER DALE GISSEMAN Ph.D.
3429 S 3570 E
SALT LAKE CITY, UT 84109-3243
Phone number: 801-598-7922
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