SARA LEE TIDWELL

SALT LAKE CITY, UT
NPI1811923477
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy231H00000X Audiologist
(Licence: UT  3162644101)
Enumeration Date2006-06-24
Last Update Date2007-07-08
Business Address
-- SARA LEE TIDWELL M.S., CCC-A
VA MEDICAL CTR 500 FOOTHILL BLVD.
SALT LAKE CITY, UT 84148-0001
Phone number: 801-584-1242
Mailing Address
-- SARA LEE TIDWELL M.S., CCC-A
33 E 200 N
NORTH SALT LAKE, UT 84054-2420
Phone number: 801-299-9416
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