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1467404202
GARY LEE GROOM
ST GEORGE, UT
NPI
1467404202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: UT 1136132501)
Enumeration Date
2006-05-17
Last Update Date
2007-11-15
Business Address
-- GARY LEE GROOM PHD
1424 E FOREMASTER DR SUITE 120
ST GEORGE, UT 84790-6326
Phone number: 435-656-8800
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Mailing Address
-- GARY LEE GROOM PHD
PO BOX 727
BRIGHAM, UT 84302
Phone number: 435-734-0101
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