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1073694592
ROGER WILLIAM VAN KOMEN
OGDEN, UT
NPI
1073694592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: UT 5729895-6004)
Enumeration Date
2006-10-18
Last Update Date
2007-07-08
Business Address
-- ROGER WILLIAM VAN KOMEN LPC
1525 LINCOLN AVE
OGDEN, UT 84404-5638
Phone number: 801-621-6510
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Mailing Address
-- ROGER WILLIAM VAN KOMEN LPC
2288 N 75 E
LAYTON, UT 84041-4057
Phone number:
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