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Individual

ISABEL REBACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
51 W 3900 S, SALT LAKE CITY, UT 84107-1431
(801) 587-2370
Mailing address
818 STEWART ST, SEATTLE, WA 98101-3311
(206) 987-5223

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
363A00000X
Physician Assistant
Primary
61365864
WA

Other

Enumeration date
03/01/2019
Last updated
10/31/2022
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