CURTIS BRYANT BLACKHAM

MORONI, UT
NPI1235425109
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
(Licence: UT  272503815)
Enumeration Date2011-06-20
Last Update Date2011-06-20
Business Address
-- CURTIS BRYANT BLACKHAM
21260 N 1450 E
MORONI, UT 84646-0461
Phone number: 435-445-5200
Mailing Address
-- CURTIS BRYANT BLACKHAM
PO BOX 461 21260 N 1450 E
MORONI, UT 84646-0461
Phone number: 435-445-5200
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