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1700339819
ANDREA ELAINE JORGENSEN
LOGAN, UT
NPI
1700339819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: UT 9246477-4102)
Enumeration Date
2016-07-26
Last Update Date
2016-07-26
Business Address
-- ANDREA ELAINE JORGENSEN M.S.
1400 N 500 E
LOGAN, UT 84341-2455
Phone number: 435-716-1000
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Mailing Address
-- ANDREA ELAINE JORGENSEN M.S.
309 E 700 N APT 2
LOGAN, UT 84321-3376
Phone number: 801-808-6287
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