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1730793878
ALLIE FAIRBANKS AVERETT
SALT LAKE CITY, UT
NPI
1730793878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-09-05
Last Update Date
2020-09-05
Business Address
ALLIE FAIRBANKS AVERETT
515 S 700 E STE 2A
SALT LAKE CITY, UT 84102-2855
Phone number: 801-308-9113
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Mailing Address
ALLIE FAIRBANKS AVERETT
515 S 700 E STE 2A
SALT LAKE CITY, UT 84102-2855
Phone number: 801-308-9113
Copy
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