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1508121062
RON SQUIRE
ROCK SPRINGS, WY
NPI
1508121062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 82655223501)
Enumeration Date
2012-07-11
Last Update Date
2018-01-25
Business Address
RON SQUIRE
2300 FOOTHILL BLVD
ROCK SPRINGS, WY 82901-5610
Phone number: 307-352-6677
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Mailing Address
RON SQUIRE
553 E CENTER ST
SPRINGVILLE, UT 84663-1550
Phone number:
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