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1508828930
MICHAEL TED BOMAN
MAGNA, UT
NPI
1508828930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 373112-3501)
Enumeration Date
2006-04-03
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL TED BOMAN LCSW
3564 S 7200 W
MAGNA, UT 84044-3507
Phone number: 801-250-2909
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Mailing Address
Mr. MICHAEL TED BOMAN LCSW
3564 S 7200 W
MAGNA, UT 84044-3507
Phone number: 801-250-2909
Copy
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