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1740852755
DANIELLA LONGAN
BOUNTIFUL, UT
NPI
1740852755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: UT 129617924201)
Enumeration Date
2021-07-11
Last Update Date
2023-04-11
Business Address
DANIELLA LONGAN OT
280 N MAIN ST
BOUNTIFUL, UT 84010-6136
Phone number: 801-662-4949
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Mailing Address
DANIELLA LONGAN OT
PO BOX 30180
SALT LAKE CITY, UT 84130-0180
Phone number: 801-662-4949
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