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1336296003
MARK DAVID CORGIAT
OGDEN, UT
NPI
1336296003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: UT 6344743-2501)
Enumeration Date
2007-01-04
Last Update Date
2021-06-14
Business Address
Dr. MARK DAVID CORGIAT PhD
1829 CHOCTAW RDG
OGDEN, UT 84403-4636
Phone number: 801-317-4502
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Mailing Address
Dr. MARK DAVID CORGIAT PhD
PO BOX 150941
OGDEN, UT 84415-0941
Phone number: 801-317-4502
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