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1861234502
SERENITY DAWN LUCIO
SPANISH FORK, UT
NPI
1861234502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
226000000X Recreational Therapist Assistant
(Licence: UT 10464698-4003)
Enumeration Date
2024-06-12
Last Update Date
2024-06-12
Business Address
SERENITY DAWN LUCIO TRT
151 E CENTER ST
SPANISH FORK, UT 84660-2161
Phone number: 801-798-6220
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Mailing Address
SERENITY DAWN LUCIO TRT
151 E CENTER ST
SPANISH FORK, UT 84660-2161
Phone number: 801-798-6220
Copy