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1700250453
VANCE ANDERSON
OGDEN, UT
NPI
1700250453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 261721-3501)
Enumeration Date
2015-11-18
Last Update Date
2015-11-18
Business Address
-- VANCE ANDERSON
269 W 3300 S
OGDEN, UT 84401-3845
Phone number: 801-393-2742
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Mailing Address
-- VANCE ANDERSON
4763 BRINKER AVE
OGDEN, UT 84403-4242
Phone number: 801-979-3462
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