BRIDGER R OGDEN

MAGNA, UT
NPI1366747479
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: UT  7575723-6005)
Enumeration Date2011-01-20
Last Update Date2011-01-20
Business Address
BRIDGER R OGDEN CSAC
8265 W 2700 S
MAGNA, UT 84044-1323
Phone number: 435-215-3504
Mailing Address
BRIDGER R OGDEN CSAC
12896 S 1300 W
RIVERTON, UT 84065-6637
Phone number: 435-215-3504
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