AUSTIN SYPHANTHAVONG

TAYLORSVILLE, UT
NPI1861239832
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-07-09
Last Update Date2024-07-09
Business Address
AUSTIN SYPHANTHAVONG
5558 S 1900 W
TAYLORSVILLE, UT 84129-9007
Phone number: 801-255-5131
Mailing Address
AUSTIN SYPHANTHAVONG
6013 S REDWOOD RD
TAYLORSVILLE, UT 84123-5220
Phone number:
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