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1912761271
MARIE LANE
WEST VALLEY CITY, UT
NPI
1912761271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
226000000X Recreational Therapist Assistant
(Licence: UT 10870840-4003)
Enumeration Date
2024-02-07
Last Update Date
2024-02-07
Business Address
MARIE LANE TRT
4090 W PIONEER PKWY
WEST VALLEY CITY, UT 84120-2060
Phone number: 801-397-4400
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Mailing Address
MARIE LANE TRT
2994 S 1100 E
SALT LAKE CITY, UT 84106-2672
Phone number: 801-910-6427
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