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1669915765
NICASSIA OMAN
SALT LAKE CITY, UT
NPI
1669915765
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: UT 9841757-4102)
Enumeration Date
2016-11-22
Last Update Date
2021-12-01
Business Address
NICASSIA OMAN
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-587-3422
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Mailing Address
NICASSIA OMAN
3766 S 2000 E
SALT LAKE CITY, UT 84109-3318
Phone number:
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