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1780466789
NICOLE BALBUENA
SOUTH SALT LAKE, UT
NPI
1780466789
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: UT 2305)
Enumeration Date
2023-10-16
Last Update Date
2023-10-16
Business Address
NICOLE BALBUENA CPSS
3269 S MAIN ST STE 100
SOUTH SALT LAKE, UT 84115-3773
Phone number: 801-935-4447
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Mailing Address
NICOLE BALBUENA CPSS
3269 S MAIN ST STE 100
SOUTH SALT LAKE, UT 84115-3773
Phone number: 801-935-4447
Copy
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