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1124430731
RUSSELL ROBERTSON
LAYTON, UT
NPI
1124430731
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
Enumeration Date
2014-05-30
Last Update Date
2014-05-30
Business Address
RUSSELL ROBERTSON
2317 N HILL FIELD RD STE 103
LAYTON, UT 84041-4781
Phone number: 801-525-4645
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Mailing Address
RUSSELL ROBERTSON
2317 N HILL FIELD RD STE 103
LAYTON, UT 84041-4781
Phone number: 801-525-4645
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