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1124858030
ADAM LANE HELDIBRIDLE
OREM, UT
NPI
1124858030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: UT 12985283-3501)
Enumeration Date
2024-08-05
Last Update Date
2024-08-05
Business Address
ADAM LANE HELDIBRIDLE
870 W CENTER ST
OREM, UT 84057-5202
Phone number: 435-633-0412
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Mailing Address
ADAM LANE HELDIBRIDLE
171 S 300 W
SANTAQUIN, UT 84655-8192
Phone number: 435-633-0412
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