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1922171172
JAN R MAGDALEN
SALT LAKE CITY, UT
NPI
1922171172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 135045-3501)
Enumeration Date
2006-11-16
Last Update Date
2015-07-09
Business Address
-- JAN R MAGDALEN
2071 E ASHTON CIR
SALT LAKE CITY, UT 84109-1103
Phone number: 801-582-2705
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Mailing Address
-- JAN R MAGDALEN
2071 E ASHTON CIR
SALT LAKE CITY, UT 84109-1103
Phone number: 801-582-2705
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