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1760152748
LISA THIELEN BENNETT
SALT LAKE CITY, UT
NPI
1760152748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2021-09-20
Last Update Date
2021-09-20
Business Address
LISA THIELEN BENNETT
124 S 400 E STE 335
SALT LAKE CITY, UT 84111-5316
Phone number: 801-443-2595
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Mailing Address
LISA THIELEN BENNETT
124 S 400 E STE 335
SALT LAKE CITY, UT 84111-5316
Phone number: 801-443-2595
Copy
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