JUERGEN ERICH KORBANKA

PROVO, UT
NPI1386600450
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: UT  3217522501)
Enumeration Date2006-04-26
Last Update Date2007-07-08
Business Address
Mr. JUERGEN ERICH KORBANKA PHD
750 NORTH 200 WEST
PROVO, UT 84601
Phone number: 801-373-4760
Mailing Address
Mr. JUERGEN ERICH KORBANKA PHD
750 NORTH 200 WEST
PROVO, UT 84601
Phone number: 801-373-4760
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