MICHAEL DREW LONG

PAYSON, UT
NPI1316413917
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
(Licence: UT  706)
Enumeration Date2018-10-22
Last Update Date2018-10-22
Business Address
MICHAEL DREW LONG CPSS
996 W 800 S
PAYSON, UT 84651-2766
Phone number: 801-500-0594
Mailing Address
MICHAEL DREW LONG CPSS
996 W 800 S
PAYSON, UT 84651-2766
Phone number: 801-500-0594
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