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1770094120
ELANE DE VOS
MURRAY, UT
NPI
1770094120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: UT 9623253-6010)
Enumeration Date
2017-10-12
Last Update Date
2017-10-12
Business Address
MRS. ELANE DE VOS
835 E 4800 S STE 220
MURRAY, UT 84107-5533
Phone number: 801-262-5418
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Mailing Address
MRS. ELANE DE VOS
2028 E GRAYSTONE LN
DRAPER, UT 84020-9120
Phone number: 801-448-1955
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