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1710281217
ROSALIE C JENSEN
PROVO, UT
NPI
1710281217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT 2783986006)
Enumeration Date
2010-12-27
Last Update Date
2013-04-29
Business Address
-- ROSALIE C JENSEN ASUDC
151 S UNIVERSITY AVE SUITE 1500
PROVO, UT 84601-4427
Phone number: 801-851-7108
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Mailing Address
-- ROSALIE C JENSEN ASUDC
151 S UNIVERSITY AVE SUITE 1500
PROVO, UT 84601-4427
Phone number: 801-851-7108
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