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1083278667
RICHARD VISSER
OGDEN, UT
NPI
1083278667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: UT 332287-6009)
Enumeration Date
2019-04-29
Last Update Date
2019-04-29
Business Address
RICHARD VISSER ASUDC
1708 E 5550 S STE 23
OGDEN, UT 84403-7038
Phone number: 801-475-4673
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Mailing Address
RICHARD VISSER ASUDC
1708 E 5550 S STE 23
OGDEN, UT 84403-7038
Phone number: 801-475-4673
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