Tip Bounyasane
Tip Bounyasane is a Case Manager/Care Coordinator in West Jordan, Utah. Practices as a sole proprietor. Licensed in Utah.
- Licensed in
- UT
- In the registry since
- 2023
Practice location Address checks out
7901 S 3200 W # 632West Jordan, UT 84088-5226
Phone: (801) 556-4037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X · Licence F24-113176 (UT) |
|---|
Record details
| NPI number | 1285409565 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 16, 2023 |
| Last updated in NPPES | December 30, 2025 |
| Certification date | December 30, 2025 |
| Mailing address | Po Box 632, West Jordan, UT 84084-0632 |
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