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1821390261
ROBERT SHANE STRONG
BRIGHAM CITY, UT
NPI
1821390261
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
322D00000X Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
2010-11-17
Last Update Date
2011-02-16
Business Address
Mr. ROBERT SHANE STRONG
58 S 950 W
BRIGHAM CITY, UT 84302-4424
Phone number: 435-538-5061
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Mailing Address
Mr. ROBERT SHANE STRONG
PO BOX 526
BRIGHAM CITY, UT 84302-0526
Phone number: 435-538-5061
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