DUSTIN LANE

CEDAR CITY, UT
NPI1508163676
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-02-25
Last Update Date2011-02-25
Business Address
-- DUSTIN LANE
54 N 200 E
CEDAR CITY, UT 84720-2615
Phone number: 435-586-2515
Mailing Address
-- DUSTIN LANE
4222 W 125 N
CEDAR CITY, UT 84720-8564
Phone number:
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