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1205137916
ADAM SPENCER BOMAN
LOGAN, UT
NPI
1205137916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2010-11-11
Last Update Date
2010-11-11
Business Address
-- ADAM SPENCER BOMAN
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-752-0750
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Mailing Address
-- ADAM SPENCER BOMAN
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-752-0750
Copy
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