ETHAN COLBURN

MORONI, UT
NPI1316314081
Other NameETHAN COLBURN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
Enumeration Date2015-08-28
Last Update Date2015-08-28
Business Address
-- ETHAN COLBURN CMHCI
21360 N 1450 E
MORONI, UT 84646-0461
Phone number: 435-445-5200
Mailing Address
-- ETHAN COLBURN CMHCI
PO BOX 461 21360 N 1450 E
MORONI, UT 84646-0461
Phone number: 435-445-5200
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