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1477234656
WESLEY BERTAGNOLE
SALT LAKE CITY, UT
NPI
1477234656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 13329991-6004)
Enumeration Date
2023-07-31
Last Update Date
2023-07-31
Business Address
Mr. WESLEY BERTAGNOLE
1930 S STATE ST
SALT LAKE CITY, UT 84115-2311
Phone number: 307-267-4049
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Mailing Address
Mr. WESLEY BERTAGNOLE
7088 S PALO VERDE WAY APT 32
COTTONWOOD HEIGHTS, UT 84121-6751
Phone number: 307-267-4049
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