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1669792073
KELLY BROOKE JOHNSON
SALT LAKE CITY, UT
NPI
1669792073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2010-06-08
Last Update Date
2010-06-08
Business Address
-- KELLY BROOKE JOHNSON
344 E 100 S STE 301
SALT LAKE CITY, UT 84111-1727
Phone number: 801-322-4257
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Mailing Address
-- KELLY BROOKE JOHNSON
115 S 1100 E UNIT 301
SALT LAKE CITY, UT 84102-1528
Phone number:
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