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1811028962
MARK STEPHEN MANAZER
SALT LAKE CITY, UT
NPI
1811028962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: UT 380579-2501)
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
Dr. MARK STEPHEN MANAZER PhD
511 W 200 S SUITE 160
SALT LAKE CITY, UT 84101-1185
Phone number: 801-363-9414
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Mailing Address
Dr. MARK STEPHEN MANAZER PhD
5643 BONICA LN
HERRIMAN, UT 84065-1741
Phone number: 801-446-4964
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