DEREK NIELSEN

BRIGHAM CITY, UT
NPI1194143412
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy253J00000X Foster Care Agency
Enumeration Date2014-04-03
Last Update Date2014-04-03
Business Address
-- DEREK NIELSEN
862 S MAIN ST
BRIGHAM CITY, UT 84302-3320
Phone number: 435-723-1799
Mailing Address
-- DEREK NIELSEN
862 S MAIN ST
BRIGHAM CITY, UT 84302-3320
Phone number: 435-723-1799
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