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1063628485
GARY BARLOW LUNDBERG
PROVO, UT
NPI
1063628485
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: UT 115477-3902)
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
-- GARY BARLOW LUNDBERG M.A. - LMFT
3680 LITTLE ROCK DR
PROVO, UT 84604-5261
Phone number: 801-224-3447
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Mailing Address
-- GARY BARLOW LUNDBERG M.A. - LMFT
3680 LITTLE ROCK DR
PROVO, UT 84604-5261
Phone number: 801-224-3447
Copy
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