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1811472574
TERA ETTINGER
OREM, UT
NPI
1811472574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-09-28
Last Update Date
2018-09-28
Business Address
TERA ETTINGER SUDC
901 S OREM BLVD
OREM, UT 84058-5011
Phone number: 801-465-5111
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Mailing Address
TERA ETTINGER SUDC
901 S OREM BLVD
OREM, UT 84058-5011
Phone number: 801-465-5111
Copy
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