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1497990550
GARY V BROADBENT
OGDEN, UT
NPI
1497990550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 113385-3501)
Enumeration Date
2008-12-03
Last Update Date
2008-12-03
Business Address
-- GARY V BROADBENT LCSW
5030 HARRISON BLVD
OGDEN, UT 84403-4311
Phone number: 801-550-6712
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Mailing Address
-- GARY V BROADBENT LCSW
2757 E 3600 S
SALT LAKE CITY, UT 84109-3546
Phone number: 801-550-6712
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