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1205315868
JUSTIN RAY WINCHELL
PROVIDENCE, UT
NPI
1205315868
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-08-13
Last Update Date
2018-08-13
Business Address
JUSTIN RAY WINCHELL RBT
545 W 465 N STE 100
PROVIDENCE, UT 84332-8004
Phone number: 435-753-6606
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Mailing Address
JUSTIN RAY WINCHELL RBT
1443 W 800 N STE 103
OREM, UT 84057-2878
Phone number: 801-655-4950
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