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1225343056
BRADLEY RAY HIEB
SALT LAKE CITY, UT
NPI
1225343056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-08-17
Last Update Date
2010-08-17
Business Address
-- BRADLEY RAY HIEB
42 S 500 E
SALT LAKE CITY, UT 84102-1002
Phone number: 801-428-3483
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Mailing Address
-- BRADLEY RAY HIEB
642 HARMONY CT
SALT LAKE CITY, UT 84102-3446
Phone number: 801-428-3483
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