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1588804264
BRANDON LEE THALMAN
LOGAN, UT
NPI
1588804264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 7199224-6004)
Enumeration Date
2009-02-20
Last Update Date
2012-03-02
Business Address
-- BRANDON LEE THALMAN
655 E 1300 N
LOGAN, UT 84341
Phone number: 435-792-6491
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Mailing Address
-- BRANDON LEE THALMAN
655 E 1300 N
LOGAN, UT 84341
Phone number: 435-792-6491
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