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Individual

DONNALESA JANET PUENTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
344 E 100 S STE 301, SALT LAKE CITY, UT 84111-1727
(801) 322-4257
Mailing address
PO BOX 572574, SALT LAKE CITY, UT 84157-2574
(858) 829-7944

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/16/2012
Last updated
08/16/2012
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