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1528461241
BRENT BLAISDELL
OGDEN, UT
NPI
1528461241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: UT 273961-3902)
Enumeration Date
2014-10-08
Last Update Date
2015-02-03
Business Address
Dr. BRENT BLAISDELL Ph.D.
4403 HARRISON BLVD SUITE A-700
OGDEN, UT 84403-3271
Phone number: 801-387-5300
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Mailing Address
Dr. BRENT BLAISDELL Ph.D.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-387-5300
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