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1417487190
SEAN DOUGLAS SEABRIDGE
PROVO, UT
NPI
1417487190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
Enumeration Date
2017-06-15
Last Update Date
2017-06-15
Business Address
SEAN DOUGLAS SEABRIDGE
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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Mailing Address
SEAN DOUGLAS SEABRIDGE
730 E 950 S APT D429
OREM, UT 84097-6758
Phone number: 580-789-0344
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