ROOSEVELT WASHINGTON

CLEARFIELD, UT
NPI1417246448
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2011-03-30
Last Update Date2011-03-30
Business Address
-- ROOSEVELT WASHINGTON
370 S 500 E STE 135
CLEARFIELD, UT 84015-4001
Phone number: 801-815-3443
Mailing Address
-- ROOSEVELT WASHINGTON
387 E 450 S
CLEARFIELD, UT 84015-1734
Phone number: 801-773-9149
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