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1861848616
TAMMY MCDOUGAL
SALT LAKE CITY, UT
NPI
1861848616
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Professional Name
MOLLY MCDOUGAL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2016-05-11
Last Update Date
2016-05-11
Business Address
-- TAMMY MCDOUGAL
857 E 200 S
SALT LAKE CITY, UT 84102-2317
Phone number: 801-487-3276
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Mailing Address
-- TAMMY MCDOUGAL
857 E 200 S
SALT LAKE CITY, UT 84102-2317
Phone number: 801-487-3276
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