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1578968954
SHAYDEN JAMES BERTAGNOLLI
OGDEN, UT
NPI
1578968954
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: UT 9109494-3902)
Enumeration Date
2014-10-28
Last Update Date
2014-10-28
Business Address
-- SHAYDEN JAMES BERTAGNOLLI M.S. LMFT
5685 S 1475 E STE 2B
OGDEN, UT 84403-4598
Phone number: 435-315-2520
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Mailing Address
-- SHAYDEN JAMES BERTAGNOLLI M.S. LMFT
5685 S 1475 E STE 2B
OGDEN, UT 84403-4598
Phone number: 435-315-2520
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