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1376062620
PHIL K EGBERT
MIDVALE, UT
NPI
1376062620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 10853088-3502)
Enumeration Date
2017-09-18
Last Update Date
2018-08-07
Business Address
PHIL K EGBERT CSW
6771 S 900 E
MIDVALE, UT 84047
Phone number: 801-386-9799
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Mailing Address
PHIL K EGBERT CSW
6771 S 900 E
MIDVALE, UT 84047-1436
Phone number: 801-386-9799
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