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1740218452
MARK N. METEKINGI
EPHRAIM, UT
NPI
1740218452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 136694-3501)
Enumeration Date
2006-06-29
Last Update Date
2007-07-09
Business Address
-- MARK N. METEKINGI LCSW
390 W 1ST N
EPHRAIM, UT 84627-2131
Phone number: 435-283-4065
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Mailing Address
-- MARK N. METEKINGI LCSW
255 W MAIN ST
MT PLEASANT, UT 84647-1331
Phone number: 435-462-2416
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