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1912533621
CAMILLE LOPEZ
BOUNTIFUL, UT
NPI
1912533621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-03-14
Last Update Date
2020-03-14
Business Address
CAMILLE LOPEZ
415 MEDICAL DR STE D101
BOUNTIFUL, UT 84010-8905
Phone number: 801-295-5537
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Mailing Address
CAMILLE LOPEZ
415 MEDICAL DR STE D101
BOUNTIFUL, UT 84010-8905
Phone number: 801-295-5537
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