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1801140397
WENDY GORE
SLC, UT
NPI
1801140397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-11-05
Last Update Date
2012-11-05
Business Address
-- WENDY GORE Support Staff
344 E 100 S STE 301
SLC, UT 84111-1727
Phone number: 801-322-4257
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Mailing Address
-- WENDY GORE Support Staff
2907 E OAKRIDGE DR
SLC, UT 84109-3611
Phone number: 435-216-8678
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