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1811276710
KHANH VIET TONG
SALT LAKE CITY, UT
NPI
1811276710
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 8847099-3502)
Enumeration Date
2011-08-09
Last Update Date
2022-07-21
Business Address
-- KHANH VIET TONG
177 W PRICE AVE
SALT LAKE CITY, UT 84115-4345
Phone number: 385-468-4435
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Mailing Address
-- KHANH VIET TONG
177 W PRICE AVE
SALT LAKE CITY, UT 84115-4345
Phone number: 385-468-4435
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