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Individual

CAMERON VANKOMEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5800 S HIGHLAND DR, SALT LAKE CITY, UT 84121-1359
(801) 272-9980
(801) 272-9976
Mailing address
5800 S HIGHLAND DR, SALT LAKE CITY, UT 84121-1359
(801) 272-9980
(801) 272-9976

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8431664-3501
DEPARTMENT OF PROFESSIONAL LICENSING
UT
Enumeration date
12/04/2013
Last updated
02/11/2020
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