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1558129221
EMBRACING AUTHENTICITY INC
LOGAN, UT
NPI
1558129221
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Entity Type
Organization
Authorized Contact
CARLY D.L. LEBARON
President/CEO
435-915-6398
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center Multi-Specialty
Enumeration Date
2024-03-07
Last Update Date
2024-03-07
Business Address
EMBRACING AUTHENTICITY INC
95 GOLF COURSE RD STE 105
LOGAN, UT 84321-5990
Phone number: 435-915-6398
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Mailing Address
EMBRACING AUTHENTICITY INC
576 N 470 E
PROVIDENCE, UT 84332-8901
Phone number: 435-764-5186
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