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1033606272
ARCHIE DEE EGBERT
OREM, UT
NPI
1033606272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 3083676-6004)
Enumeration Date
2018-04-13
Last Update Date
2018-04-13
Business Address
ARCHIE DEE EGBERT CMHC
359 E 1200 S
OREM, UT 84058-6904
Phone number: 801-921-1200
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Mailing Address
ARCHIE DEE EGBERT CMHC
359 E 1200 S
OREM, UT 84058-6904
Phone number:
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