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1053631721
MARLIN JAY BECKSTEAD
SLC, UT
NPI
1053631721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2010-06-04
Last Update Date
2010-06-04
Business Address
MR. MARLIN JAY BECKSTEAD
68 S 600 E
SLC, UT 84102-1007
Phone number: 801-322-1001
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Mailing Address
MR. MARLIN JAY BECKSTEAD
344 E 100 S
SLC, UT 84111-1700
Phone number: 801-428-3447
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