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1023024171
MILTON RUSSON
BOUNTIFUL, UT
NPI
1023024171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: UT 359690-35003)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
-- MILTON RUSSON
470 E MEDICAL DR
BOUNTIFUL, UT 84010
Phone number: 801-298-3446
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Mailing Address
-- MILTON RUSSON
PO BOX 689
FARMINGTON, UT 84025-0689
Phone number:
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