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1831491174
MARY LOUISE VALANTINE
SALT LAKE CITY, UT
NPI
1831491174
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Former Name
MARY LOUISE HETHERINGTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: UT 112855-4102)
Enumeration Date
2010-11-18
Last Update Date
2010-11-18
Business Address
MRS. MARY LOUISE VALANTINE M.S.
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-2121
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Mailing Address
MRS. MARY LOUISE VALANTINE M.S.
1719 REDONDO AVE
SALT LAKE CITY, UT 84108-3115
Phone number: 801-647-4170
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