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1194382895
BENJAMIN BLAKE CORBRIDGE
BRIGHAM CITY, UT
NPI
1194382895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-05-29
Last Update Date
2019-05-29
Business Address
BENJAMIN BLAKE CORBRIDGE
82 S 800 W
BRIGHAM CITY, UT 84302-2400
Phone number: 435-723-8548
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Mailing Address
BENJAMIN BLAKE CORBRIDGE
82 S 800 W
BRIGHAM CITY, UT 84302-2400
Phone number: 435-723-8548
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