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1760229892
LEXI PETTIBONE
SALT LAKE CITY, UT
NPI
1760229892
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-07-15
Last Update Date
2024-07-15
Business Address
LEXI PETTIBONE
5983 S REDWOOD RD
SALT LAKE CITY, UT 84123-5261
Phone number: 801-293-9999
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Mailing Address
LEXI PETTIBONE
5983 S REDWOOD RD
SALT LAKE CITY, UT 84123-5261
Phone number: 801-293-9999
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