MIKELLE COLEMAN GOODMAN

SALT LAKE CITY, UT
NPI1710489737
Former NameMIKELLE COLEMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: UT  8106618-4202)
Enumeration Date2018-03-06
Last Update Date2018-03-06
Business Address
MIKELLE COLEMAN GOODMAN
700 FOOTHILL BLVD
SALT LAKE CITY, UT 84113-1104
Phone number: 801-584-1900
Mailing Address
MIKELLE COLEMAN GOODMAN
206 N 2100 W
SALT LAKE CITY, UT 84116-4740
Phone number:
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