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1316421142
BOSTON BUSHNELL
SALT LAKE CITY, UT
NPI
1316421142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2018-09-18
Last Update Date
2018-09-18
Business Address
BOSTON BUSHNELL
1141 E 3900 S STE A170
SALT LAKE CITY, UT 84124-1250
Phone number: 888-949-4864
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Mailing Address
BOSTON BUSHNELL
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number:
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