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1730841990
CAMMY BLACK
CLINTON, UT
NPI
1730841990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: UT 456136)
Enumeration Date
2021-10-06
Last Update Date
2021-10-06
Business Address
CAMMY BLACK
633 N 1420 W
CLINTON, UT 84015-9379
Phone number: 801-643-2685
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Mailing Address
CAMMY BLACK
633 N 1420 W
CLINTON, UT 84015-9379
Phone number: 801-643-2685
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