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1821771916
EVELYN AISSA ACOSTA
WEST JORDAN, UT
NPI
1821771916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225C00000X Rehabilitation Counselor
Enumeration Date
2023-08-08
Last Update Date
2023-08-08
Business Address
EVELYN AISSA ACOSTA
7625 S 3200 W STE 2
WEST JORDAN, UT 84084-2887
Phone number: 801-915-0359
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Mailing Address
EVELYN AISSA ACOSTA
154 W 600 S UNIT 538
SALT LAKE CITY, UT 84101-2835
Phone number:
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