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1982001806
STEVEN FULTZ
SANDY, UT
NPI
1982001806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: UT 324065-3501)
Enumeration Date
2014-11-20
Last Update Date
2014-11-20
Business Address
STEVEN FULTZ
833 E 9400 S
SANDY, UT 84094-3655
Phone number: 801-566-2556
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Mailing Address
STEVEN FULTZ
1354 S 300 W
BOUNTIFUL, UT 84010-7357
Phone number: 801-867-6330
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