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1619333648
RAFAEL ANGEL FLORES
SALT LAKE CITY, UT
NPI
1619333648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT 6955662-6006)
Enumeration Date
2016-01-06
Last Update Date
2016-01-06
Business Address
Mr. RAFAEL ANGEL FLORES SUDC
1776 S MAIN ST
SALT LAKE CITY, UT 84115-1951
Phone number: 801-910-5892
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Mailing Address
Mr. RAFAEL ANGEL FLORES SUDC
1776 S MAIN ST
SALT LAKE CITY, UT 84115-1951
Phone number: 801-910-5892
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