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1770604332
MINDALYN GREEN ENLOW
SALT LAKE CITY, UT
NPI
1770604332
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: UT 291305-4102)
Enumeration Date
2007-04-02
Last Update Date
2007-07-08
Business Address
-- MINDALYN GREEN ENLOW S.L.P.
8TH AVE C ST
SALT LAKE CITY, UT 84143-0001
Phone number: 801-408-5412
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Mailing Address
-- MINDALYN GREEN ENLOW S.L.P.
8TH AVE C ST
SALT LAKE CITY, UT 84143-0001
Phone number: 801-408-5412
Copy
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