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1407358971
CORBIN CHARLES GREEN
BRIGHAM CITY, UT
NPI
1407358971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-03-01
Last Update Date
2018-03-01
Business Address
CORBIN CHARLES GREEN
82 S 800 W
BRIGHAM CITY, UT 84302-2400
Phone number: 435-723-8548
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Mailing Address
CORBIN CHARLES GREEN
82 S 800 W
BRIGHAM CITY, UT 84302-2400
Phone number: 435-723-8548
Copy
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