GAYLEEN RENAE BENNETT

PROVO, UT
NPI1659441731
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: UT  362805-4102)
Enumeration Date2006-11-08
Last Update Date2007-07-08
Business Address
-- GAYLEEN RENAE BENNETT
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-7475
Mailing Address
-- GAYLEEN RENAE BENNETT
PO BOX 30180
SALT LAKE CITY, UT 84130-0180
Phone number:
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