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1023376175
DARREN WAYNE BURDETTE
OREM, UT
NPI
1023376175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: UT 48407383502)
Enumeration Date
2012-04-26
Last Update Date
2012-04-26
Business Address
DARREN WAYNE BURDETTE C.S.W.
1471 N 1200 W
OREM, UT 84057-2449
Phone number: 801-802-9464
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Mailing Address
DARREN WAYNE BURDETTE C.S.W.
1471 N 1200 W
OREM, UT 84057-2449
Phone number: 801-802-9464
Copy
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