KODY K BURRELL

CLEARFIELD, UT
NPI1134430903
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2010-06-28
Last Update Date2010-06-28
Business Address
-- KODY K BURRELL
370 S 500 E STE 135
CLEARFIELD, UT 84015-4001
Phone number: 801-391-0896
Mailing Address
-- KODY K BURRELL
370 S. 500 E. #135
CLEARFIELD, UT 84015
Phone number: 801-391-0896
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