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1023847001
PAXTEN PRENTICE
ST GEORGE, UT
NPI
1023847001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-07-29
Last Update Date
2024-07-29
Business Address
PAXTEN PRENTICE
1067 E TABERNACLE ST
ST GEORGE, UT 84770-3163
Phone number: 801-255-5131
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Mailing Address
PAXTEN PRENTICE
6013 S REDWOOD RD
TAYLORSVILLE, UT 84123-5220
Phone number:
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