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1164466561
VIRGIL W. BROCKBANK
ST GEORGE, UT
NPI
1164466561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: UT 109272-2501)
Enumeration Date
2006-06-15
Last Update Date
2007-07-08
Business Address
Dr. VIRGIL W. BROCKBANK Ph.D.
2480 RED CLIFFS DR
ST GEORGE, UT 84790-5457
Phone number: 435-673-6446
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Mailing Address
Dr. VIRGIL W. BROCKBANK Ph.D.
115 STONE MOUNTAIN DR
ST GEORGE, UT 84770-5078
Phone number: 435-634-0341
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