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1366153256
BRIAN MICHAEL BERTACCINI
ST GEORGE, UT
NPI
1366153256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2022-12-12
Last Update Date
2022-12-12
Business Address
BRIAN MICHAEL BERTACCINI
249 E TABERNACLE ST
ST GEORGE, UT 84770-2978
Phone number: 435-705-7574
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Mailing Address
BRIAN MICHAEL BERTACCINI
249 E TABERNACLE ST
ST GEORGE, UT 84770-2978
Phone number:
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