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1447991005
BRIAN MARTIN
SALT LAKE CITY, UT
NPI
1447991005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 11285634-3501)
Enumeration Date
2022-04-06
Last Update Date
2022-04-06
Business Address
BRIAN MARTIN
550 FOOTHILL BLVD
SALT LAKE CITY, UT 84113-1106
Phone number: 801-582-1565
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Mailing Address
BRIAN MARTIN
3411 S 1940 W
WEST VALLEY CITY, UT 84119-3431
Phone number: 417-766-5614
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