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Individual
DR. LANCE JUDDSON DOME
Active
Individual
DR. LANCE JUDDSON DOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LMFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
6890279-3902
UT
Other
Enumeration date
11/08/2006
Last updated
02/13/2020
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