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1649914409
NICHOLAUS OWEN MOORE
MURRAY, UT
NPI
1649914409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 12735586-6009)
Enumeration Date
2022-04-26
Last Update Date
2022-04-26
Business Address
NICHOLAUS OWEN MOORE
345 E 4500 S STE 100
MURRAY, UT 84107-3991
Phone number: 801-465-5111
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Mailing Address
NICHOLAUS OWEN MOORE
345 E 4500 S STE 100
MURRAY, UT 84107-3991
Phone number: 801-465-5111
Copy
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