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1669562278
KELLY JOAN LUNDBERG
SALT LAKE CITY, UT
NPI
1669562278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: UT 116971-2501)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
KELLY JOAN LUNDBERG PhD
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-7951
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Mailing Address
KELLY JOAN LUNDBERG PhD
PO BOX 581079
SALT LAKE CITY, UT 84158-1079
Phone number: 801-213-3800
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