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1053629022
TIMOTHY HAL WORTHEN
BRIGHAM CITY, UT
NPI
1053629022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
253J00000X Foster Care Agency
Enumeration Date
2010-09-23
Last Update Date
2010-09-23
Business Address
-- TIMOTHY HAL WORTHEN
862 SOUTH MAIN ST.
BRIGHAM CITY, UT 84302
Phone number: 435-723-1799
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Mailing Address
-- TIMOTHY HAL WORTHEN
862 SOUTH MAIN ST.
BRIGHAM CITY, UT 84302
Phone number:
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