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1659870681
FIDEL REYES
BOUNTIFUL, UT
NPI
1659870681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: UT RBT-18-64828)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2018-02-05
Last Update Date
2020-07-23
Business Address
FIDEL REYES
415 MEDICAL DR STE D101
BOUNTIFUL, UT 84010-8905
Phone number: 385-202-5481
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Mailing Address
FIDEL REYES
6013 S REDWOOD RD
TAYLORSVILLE, UT 84123-5220
Phone number: 801-255-5131
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