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1962936252
JESSICA FORSDICK
SALT LAKE CITY, UT
NPI
1962936252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: UT RBT-17-30165)
Enumeration Date
2017-04-13
Last Update Date
2017-04-13
Business Address
-- JESSICA FORSDICK RBT
650 S KOMAS DR
SALT LAKE CITY, UT 84108-1215
Phone number: 801-581-5515
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Mailing Address
-- JESSICA FORSDICK RBT
1266 E PARKWAY AVE
SALT LAKE CITY, UT 84106-2773
Phone number: 801-558-4521
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