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1366975492
GARY RIDDLE
CEDAR CITY, UT
NPI
1366975492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-04-05
Last Update Date
2017-04-05
Business Address
-- GARY RIDDLE
54 N 200 E
CEDAR CITY, UT 84720-2615
Phone number: 435-867-4770
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Mailing Address
-- GARY RIDDLE
474 W 200 N
ST GEORGE, UT 84770-4505
Phone number:
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