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1770350415
CODY LOFTHOUSE
BRIGHAM CITY, UT
NPI
1770350415
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-12-04
Last Update Date
2023-12-04
Business Address
CODY LOFTHOUSE
60 S MAIN ST STE B0001
BRIGHAM CITY, UT 84302-6795
Phone number: 435-239-8768
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Mailing Address
CODY LOFTHOUSE
60 S MAIN ST STE B0001
BRIGHAM CITY, UT 84302-6795
Phone number:
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