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1467759514
GEORGE ALVA BLACKBURN
TOOELE, UT
NPI
1467759514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 6672674-6004)
Enumeration Date
2011-02-24
Last Update Date
2015-07-22
Business Address
Mr. GEORGE ALVA BLACKBURN CMHC
134 W 1180 N
TOOELE, UT 84074-1483
Phone number: 435-228-4181
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Mailing Address
Mr. GEORGE ALVA BLACKBURN CMHC
134 W 1180 N
TOOELE, UT 84074-1483
Phone number: 435-228-4181
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