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1992580765
ALEX BLACK
DRAPER, UT
NPI
1992580765
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-08-29
Last Update Date
2023-08-29
Business Address
ALEX BLACK
12222 S 1000 E STE 3
DRAPER, UT 84020-3203
Phone number: 801-987-3592
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Mailing Address
ALEX BLACK
12222 S 1000 E STE 3
DRAPER, UT 84020-3203
Phone number: 801-987-3592
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