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1821398330
CHRISTOPHER JOHN BERESHNYI
TOOELE, UT
NPI
1821398330
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 5216820-3502)
Enumeration Date
2010-10-31
Last Update Date
2010-10-31
Business Address
-- CHRISTOPHER JOHN BERESHNYI CSW
50 N MAIN ST
TOOELE, UT 84074-2139
Phone number: 435-850-8723
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Mailing Address
-- CHRISTOPHER JOHN BERESHNYI CSW
50 N MAIN ST
TOOELE, UT 84074-2139
Phone number: 435-850-8723
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