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1750859997
JERICHO C PINEDA
BOUNTIFUL, UT
NPI
1750859997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 10998714-3501)
Enumeration Date
2018-11-06
Last Update Date
2024-01-04
Business Address
JERICHO C PINEDA
1576 S 500 W
BOUNTIFUL, UT 84010-7433
Phone number: 801-406-9002
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Mailing Address
JERICHO C PINEDA
1576 S 500 W
WOODS CROSS, UT 84010-7433
Phone number: 801-406-9002
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