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1396281036
BRIAN CHARLES JOHANSON
EPHRAIM, UT
NPI
1396281036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 168802035)
Enumeration Date
2017-01-18
Last Update Date
2017-01-18
Business Address
Mr. BRIAN CHARLES JOHANSON
152 N 400 W
EPHRAIM, UT 84627-5549
Phone number: 435-283-8400
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Mailing Address
Mr. BRIAN CHARLES JOHANSON
152 N 400 W
EPHRAIM, UT 84627-5549
Phone number: 435-283-8400
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