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1912598178
THOMAS FAWCETT
PLEASANT GROVE, UT
NPI
1912598178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2021-01-31
Last Update Date
2021-01-31
Business Address
THOMAS FAWCETT
533 W STATE RD SUITE 103
PLEASANT GROVE, UT 84062
Phone number: 801-506-6695
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Mailing Address
THOMAS FAWCETT
533 W STATE RD SUITE 103
PLEASANT GROVE, UT 84062
Phone number:
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