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1154729721
MARK PERKINS
LOGAN, UT
NPI
1154729721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT 309942-6008)
Enumeration Date
2014-12-15
Last Update Date
2014-12-15
Business Address
-- MARK PERKINS
655 E 1300 N
LOGAN, UT 84341-2570
Phone number: 435-792-6491
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Mailing Address
-- MARK PERKINS
655 E 1300 N
LOGAN, UT 84341-2570
Phone number: 435-792-6491
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