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1346586740
JOHN PHILLIP BOSTIC
MOAB, UT
NPI
1346586740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-12-13
Last Update Date
2012-12-13
Business Address
-- JOHN PHILLIP BOSTIC
48 NORTH SHIELDS LANE
MOAB, UT 84532-2430
Phone number: 435-259-3155
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Mailing Address
-- JOHN PHILLIP BOSTIC
PO BOX 867
PRICE, UT 84501-0867
Phone number: 435-637-7200
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