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1962967232
DONNELL MARIE JOHANSEN
EPHRAIM, UT
NPI
1962967232
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2019-01-31
Last Update Date
2019-01-31
Business Address
DONNELL MARIE JOHANSEN
152 N 400 W
EPHRAIM, UT 84627-5549
Phone number: 435-283-8400
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Mailing Address
DONNELL MARIE JOHANSEN
125 S STATE ST
MT PLEASANT, UT 84647-1563
Phone number: 435-283-8400
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