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Individual

ADRIANNA MELINDA PAHULU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5698 W GLEN EAGLE DR, WEST VALLEY CITY, UT 84128-4013
(801) 969-4181
(801) 969-1291
Mailing address
75 E FORT UNION BLVD, MIDVALE, UT 84047-1531
(650) 380-5939

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
11/30/2017
Last updated
10/13/2020
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