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1750712626
CASEY BLACKER
BRIGHAM CITY, UT
NPI
1750712626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
253J00000X Foster Care Agency
Enumeration Date
2013-12-03
Last Update Date
2013-12-03
Business Address
-- CASEY BLACKER
862 S MAIN ST SUITE 4
BRIGHAM CITY, UT 84302-3320
Phone number: 435-723-1799
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Mailing Address
-- CASEY BLACKER
862 S MAIN ST SUITE 4
BRIGHAM CITY, UT 84302-3320
Phone number:
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