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1992453054
AMYLLA SULLANO
BOUNTIFUL, UT
NPI
1992453054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: UT 12331195-4108)
Enumeration Date
2022-03-16
Last Update Date
2022-03-16
Business Address
AMYLLA SULLANO CCC-SLP
280 N MAIN ST
BOUNTIFUL, UT 84010-6136
Phone number: 833-577-3422
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Mailing Address
AMYLLA SULLANO CCC-SLP
280 N MAIN ST
BOUNTIFUL, UT 84010-6136
Phone number:
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