JORDAN WANBERG

BRIGHAM CITY, UT
NPI1578981502
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy253J00000X Foster Care Agency
Enumeration Date2014-04-07
Last Update Date2014-04-07
Business Address
-- JORDAN WANBERG
862 S MAIN ST STE 4
BRIGHAM CITY, UT 84302-3389
Phone number: 435-753-6245
Mailing Address
-- JORDAN WANBERG
297 W CLARK ST
GRANTSVILLE, UT 84029-9604
Phone number:
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