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1366038432
BLAIR L WYNN
RIVERTON, UT
NPI
1366038432
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 12837621-3502)
Enumeration Date
2020-12-14
Last Update Date
2024-05-02
Business Address
Mrs. BLAIR L WYNN
12569 S 2700 W
RIVERTON, UT 84065-7182
Phone number: 801-209-9797
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Mailing Address
Mrs. BLAIR L WYNN
12569 S 2700 W
RIVERTON, UT 84065-7182
Phone number: 801-209-9797
Copy
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