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Individual

KIMBERLY JANICE SAUL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3776 S 2700 E, SALT LAKE CITY, UT 84109-3570
(801) 278-6004
Mailing address
3776 S 2700 E, SALT LAKE CITY, UT 84109-3570
(801) 278-6004

Taxonomy

Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
002201
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002201
AGBELL ACADEMY
DC
Enumeration date
02/09/2009
Last updated
02/09/2009
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