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1063151942
MATTHEW BLANK
MOAB, UT
NPI
1063151942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-05-31
Last Update Date
2022-05-31
Business Address
MATTHEW BLANK
198 E CENTER ST
MOAB, UT 84532-2430
Phone number: 435-259-6131
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Mailing Address
MATTHEW BLANK
PO BOX 867
PRICE, UT 84501-0867
Phone number: 435-637-7200
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