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1700474723
JOHN BRANDON HENDERSON
SALT LAKE CITY, UT
NPI
1700474723
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-01-05
Last Update Date
2021-01-05
Business Address
JOHN BRANDON HENDERSON
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-3222
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Mailing Address
JOHN BRANDON HENDERSON
1841 W MORTON DR APT F12
SALT LAKE CITY, UT 84116-1493
Phone number: 385-888-2053
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