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1154400216
JERRY LYNN SANDBERG
BOUNTIFUL, UT
NPI
1154400216
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: UT 117488-2501)
Enumeration Date
2006-11-02
Last Update Date
2012-06-15
Business Address
Dr. JERRY LYNN SANDBERG Ph.D.
1470 N MAIN ST STE B
BOUNTIFUL, UT 84010-5996
Phone number: 801-299-9026
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Mailing Address
Dr. JERRY LYNN SANDBERG Ph.D.
1470 N MAIN ST STE B
BOUNTIFUL, UT 84010-5996
Phone number: 801-299-9026
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