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1689215964
KINDA NIZAM
SALT LAKE CITY, UT
NPI
1689215964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-10-08
Last Update Date
2019-10-08
Business Address
KINDA NIZAM
515 S 700 E
SALT LAKE CITY, UT 84102-2801
Phone number: 385-231-9037
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Mailing Address
KINDA NIZAM
11114 S FARNSWORTH LN
SANDY, UT 84070-5399
Phone number: 385-231-9037
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