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1831491950
ROBERT B JUSTINIANO
MIDVALE, UT
NPI
1831491950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: UT 7687114-3502)
Enumeration Date
2010-11-22
Last Update Date
2010-11-22
Business Address
ROBERT B JUSTINIANO CSW
7484 MAPLE ST
MIDVALE, UT 84047-2035
Phone number: 302-222-1592
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Mailing Address
ROBERT B JUSTINIANO CSW
7484 MAPLE ST
MIDVALE, UT 84047-2035
Phone number: 302-222-1592
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