BRUCE LEE

SALT LAKE CITY, UT
NPI1134518210
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
Enumeration Date2015-01-13
Last Update Date2015-01-13
Business Address
-- BRUCE LEE
344 E 100 S STE 301
SALT LAKE CITY, UT 84111-1727
Phone number: 801-322-4257
Mailing Address
-- BRUCE LEE
344 EAST 100 SOUTH STE.301
SLC, UT 84111
Phone number: 801-322-4257
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