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1376825364
DIANE BINGHAM
LOGAN, UT
NPI
1376825364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
253J00000X Foster Care Agency
Additional Taxonomies
106H00000X Marriage & Family Therapist
Enumeration Date
2011-09-15
Last Update Date
2011-09-15
Business Address
-- DIANE BINGHAM
464 N 300 E BASEMENT
LOGAN, UT 84321-4117
Phone number: 208-650-8362
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Mailing Address
-- DIANE BINGHAM
464 N 300 E BAMT
LOGAN, UT 84321-4117
Phone number: 208-650-8362
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