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1932678638
BRAYDEN RICHARD JENSEN
SALT LAKE CITY, UT
NPI
1932678638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: UT 11055094-4104)
Enumeration Date
2018-11-26
Last Update Date
2021-12-14
Business Address
BRAYDEN RICHARD JENSEN MS
1136 E WILMINGTON AVE
SALT LAKE CITY, UT 84106-2819
Phone number: 801-581-2221
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Mailing Address
BRAYDEN RICHARD JENSEN MS
1136 E WILMINGTON AVE
SALT LAKE CITY, UT 84106-2819
Phone number:
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