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1467791715
BRYSON LAMONT BULLOUGH
BRIGHAM CITY, UT
NPI
1467791715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
253J00000X Foster Care Agency
Enumeration Date
2013-02-06
Last Update Date
2013-02-06
Business Address
-- BRYSON LAMONT BULLOUGH
862 S MAIN ST SUITE 4
BRIGHAM CITY, UT 84302-3320
Phone number: 435-723-1799
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Mailing Address
-- BRYSON LAMONT BULLOUGH
862 S MAIN ST SUITE 4
BRIGHAM CITY, UT 84302-3320
Phone number: 435-723-1799
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