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1275806143
STANLEY BLAKE RENDA
BRIGHAM CITY, UT
NPI
1275806143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
253J00000X Foster Care Agency
Enumeration Date
2012-02-22
Last Update Date
2012-02-22
Business Address
Mr. STANLEY BLAKE RENDA
862 S MAIN ST STE NO4
BRIGHAM CITY, UT 84302-3320
Phone number: 435-723-1799
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Mailing Address
Mr. STANLEY BLAKE RENDA
862 S MAIN ST STE NO4
BRIGHAM CITY, UT 84302-3320
Phone number: 435-723-1799
Copy
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