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1578981502
JORDAN WANBERG
BRIGHAM CITY, UT
NPI
1578981502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
253J00000X Foster Care Agency
Enumeration Date
2014-04-07
Last Update Date
2014-04-07
Business Address
-- JORDAN WANBERG
862 S MAIN ST STE 4
BRIGHAM CITY, UT 84302-3389
Phone number: 435-753-6245
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Mailing Address
-- JORDAN WANBERG
297 W CLARK ST
GRANTSVILLE, UT 84029-9604
Phone number:
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