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1609232206
JOHN RUSSELL BONNETT
PROVO, UT
NPI
1609232206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 4741940-3502)
Enumeration Date
2016-01-12
Last Update Date
2016-01-12
Business Address
Mr. JOHN RUSSELL BONNETT C.S.W.
4501 N UNIVERSITY AVE
PROVO, UT 84604-5504
Phone number: 801-227-2000
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Mailing Address
Mr. JOHN RUSSELL BONNETT C.S.W.
258 S 230 E
OREM, UT 84058-5526
Phone number: 801-205-5646
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