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1649535022
AMANDA CAROLE STARK
SALT LAKE CITY, UT
NPI
1649535022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: UT 8345344-4104)
Enumeration Date
2012-07-11
Last Update Date
2021-11-19
Business Address
AMANDA CAROLE STARK M.S.
729 ARAPEEN DR
SALT LAKE CITY, UT 84108-1218
Phone number: 801-587-8368
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Mailing Address
AMANDA CAROLE STARK M.S.
729 ARAPEEN DR
SALT LAKE CITY, UT 84108-1218
Phone number: 801-587-8368
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