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1457490179
MARIE BLAZZARD
ST GEORGE, UT
NPI
1457490179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT 5125932-6006)
Enumeration Date
2007-02-06
Last Update Date
2007-07-08
Business Address
-- MARIE BLAZZARD LSAC
474 W 200 N SUITE 200
ST GEORGE, UT 84770-4505
Phone number: 435-634-5600
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Mailing Address
-- MARIE BLAZZARD LSAC
474 W 200 N SUITE 300
ST GEORGE, UT 84770-4505
Phone number: 435-634-5600
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