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1780805978
ANDREA AMELIA BORREGO
SLC, UT
NPI
1780805978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT 7879106-6006)
Enumeration Date
2007-05-02
Last Update Date
2019-08-27
Business Address
ANDREA AMELIA BORREGO CAADE
344 E 100 S
SLC, UT 84111
Phone number: 801-322-3397
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Mailing Address
ANDREA AMELIA BORREGO CAADE
344 E 100 S
SLC, UT 84111-1700
Phone number: 801-322-3397
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