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Individual

ANNETTE UKENA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
22 PAYNE CIR, LAYTON, UT 84041-3124
(503) 351-2312
Mailing address
22 PAYNE CIR, LAYTON, UT 84041-3124
(503) 351-2312

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
312704-3102
UT

Other

Enumeration date
05/08/2014
Last updated
05/08/2014
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