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1538604111
JASON BENNINGTON
LAYTON, UT
NPI
1538604111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-01-05
Last Update Date
2017-01-05
Business Address
-- JASON BENNINGTON
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060
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Mailing Address
-- JASON BENNINGTON
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060
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