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1942852793
MARY HANSEN
SALT LAKE CITY, UT
NPI
1942852793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: UT 9831386-4102)
Enumeration Date
2019-07-11
Last Update Date
2019-07-11
Business Address
MARY HANSEN
8TH AVENUE C ST E
SALT LAKE CITY, UT 84143-0001
Phone number: 801-408-3765
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Mailing Address
MARY HANSEN
1495 S COUNTRYSIDE LN
HEBER CITY, UT 84032-3577
Phone number: 435-671-8149
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