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1588412860
WILLIAM JOSEPH EGBERT
PROVO, UT
NPI
1588412860
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT 13393935-6018)
Enumeration Date
2024-05-10
Last Update Date
2024-05-10
Business Address
WILLIAM JOSEPH EGBERT
1053 W 1020 S
PROVO, UT 84601-5656
Phone number: 801-810-1234
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Mailing Address
WILLIAM JOSEPH EGBERT
1053 W 1020 S
PROVO, UT 84601-5656
Phone number: 801-810-1234
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