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1619537503
GRANT PEMBERTON
ST GEORGE, UT
NPI
1619537503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 8856945-6004)
Enumeration Date
2019-06-13
Last Update Date
2019-06-13
Business Address
Mr. GRANT PEMBERTON CMHC
321 N MALL DR
ST GEORGE, UT 84790-7302
Phone number: 435-862-8612
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Mailing Address
Mr. GRANT PEMBERTON CMHC
3910 LONDON LN
SANTA CLARA, UT 84765-5643
Phone number: 435-705-3678
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