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1598260937
PRINCE GBEADEH
TAYLORSVILLE, UT
NPI
1598260937
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-03-28
Last Update Date
2018-03-28
Business Address
PRINCE GBEADEH
3809 W 6200 S
TAYLORSVILLE, UT 84129-3725
Phone number: 801-963-4360
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Mailing Address
PRINCE GBEADEH
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number:
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