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1023300548
BLAINE LADD
SAINT GEORGE, UT
NPI
1023300548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
Enumeration Date
2011-05-03
Last Update Date
2011-05-03
Business Address
BLAINE LADD
474 W 200 N
SAINT GEORGE, UT 84770-4505
Phone number: 435-634-5660
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Mailing Address
BLAINE LADD
2496 CRESTVIEW DR
SANTA CLARA, UT 84765-5557
Phone number: 435-574-8670
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