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1720603046
PHOENIX J JIMENEZ
LAYTON, UT
NPI
1720603046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-06-11
Last Update Date
2020-06-11
Business Address
PHOENIX J JIMENEZ BT
2940 N CHURCH ST STE 303
LAYTON, UT 84040-6617
Phone number: 801-935-4171
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Mailing Address
PHOENIX J JIMENEZ BT
2940 N CHURCH ST STE 303
LAYTON, UT 84040-6617
Phone number: 801-935-4171
Copy
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