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1629360219
BROCKTON GREGGORY CHAPPELL
CEDAR CITY, UT
NPI
1629360219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-05-14
Last Update Date
2011-05-14
Business Address
Mr. BROCKTON GREGGORY CHAPPELL
295 N BEACON DR
CEDAR CITY, UT 84720-3098
Phone number: 702-375-6544
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Mailing Address
Mr. BROCKTON GREGGORY CHAPPELL
295 N BEACON DR
CEDAR CITY, UT 84720-3098
Phone number: 702-375-6544
Copy
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