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1346269917
JOHN ORVILLE WATERBURY
BOUNTIFUL, UT
NPI
1346269917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: UT 138013-6004)
Enumeration Date
2006-07-18
Last Update Date
2007-07-08
Business Address
Mr. JOHN ORVILLE WATERBURY lpc
52 BOULTON WAY
BOUNTIFUL, UT 84010-6471
Phone number: 801-298-2334
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Mailing Address
Mr. JOHN ORVILLE WATERBURY lpc
52 BOULTON WAY
BOUNTIFUL, UT 84010-6471
Phone number: 801-298-2334
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