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1134430903
KODY K BURRELL
CLEARFIELD, UT
NPI
1134430903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2010-06-28
Last Update Date
2010-06-28
Business Address
-- KODY K BURRELL
370 S 500 E STE 135
CLEARFIELD, UT 84015-4001
Phone number: 801-391-0896
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Mailing Address
-- KODY K BURRELL
370 S. 500 E. #135
CLEARFIELD, UT 84015
Phone number: 801-391-0896
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