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1316638117
BORAGE WELLNESS CENTER
WEST HAVEN, UT
NPI
1316638117
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Entity Type
Organization
Authorized Contact
ABREE SEPULVEDA MIZE
Owner, Clinician
801-719-9410
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2023-05-15
Last Update Date
2024-07-03
Business Address
BORAGE WELLNESS CENTER
4646 S 3500 W STE 2
WEST HAVEN, UT 84401-9405
Phone number: 801-719-9410
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Mailing Address
BORAGE WELLNESS CENTER
4646 S 3500 W STE 2
WEST HAVEN, UT 84401-9405
Phone number: 801-719-9410
Copy
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