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1679078638
MIKE SCOTT BURESH
SALT LAKE CITY, UT
NPI
1679078638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: UT 123456789)
Enumeration Date
2018-03-29
Last Update Date
2018-03-29
Business Address
MIKE SCOTT BURESH
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 801-963-4360
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Mailing Address
MIKE SCOTT BURESH
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 801-963-4360
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