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1750098398
WYATT T BERDINNER
BOUNTIFUL, UT
NPI
1750098398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-11-02
Last Update Date
2022-11-02
Business Address
WYATT T BERDINNER
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010-4995
Phone number: 801-683-1062
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Mailing Address
WYATT T BERDINNER
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010-4995
Phone number: 801-683-1062
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