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1619611894
KATELYN CLARK
WEST JORDAN, UT
NPI
1619611894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2022-04-25
Last Update Date
2022-04-25
Business Address
KATELYN CLARK
1970 W 7800 S
WEST JORDAN, UT 84088-4025
Phone number: 801-268-4887
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Mailing Address
KATELYN CLARK
1970 W 7800 S
WEST JORDAN, UT 84088-4025
Phone number:
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