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1033767629
LONDON BERTOCH
WEST JORDAN, UT
NPI
1033767629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 11413713-6009)
Enumeration Date
2019-08-28
Last Update Date
2019-08-28
Business Address
LONDON BERTOCH
1561 W 7000 S STE 200
WEST JORDAN, UT 84084-3556
Phone number: 801-990-4300
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Mailing Address
LONDON BERTOCH
2096 W. COMMANCHE RD.
FARMINGTON, UT 84025
Phone number: 928-830-7133
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