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1134861917
CHRISTIAN DAVID MACNUTT
LOGAN, UT
NPI
1134861917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-04-11
Last Update Date
2022-04-11
Business Address
CHRISTIAN DAVID MACNUTT
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-752-0750
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Mailing Address
CHRISTIAN DAVID MACNUTT
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-752-0750
Copy
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