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1356168355
BREANNA DANA KORTH
ST. GEORGE, UT
NPI
1356168355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: UT 13500682)
Enumeration Date
2024-09-23
Last Update Date
2024-09-23
Business Address
BREANNA DANA KORTH CSW
230 N1680 E SUITE D-1
ST. GEORGE, UT 84790
Phone number: 435-705-9571
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Mailing Address
BREANNA DANA KORTH CSW
485 N 2170 S APT N11
HURRICANE, UT 84737
Phone number: 208-573-7177
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