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1861049868
JOHN CHRISTIAN PENROD
BOUNTIFUL, UT
NPI
1861049868
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 11305293)
Enumeration Date
2019-08-23
Last Update Date
2019-08-23
Business Address
JOHN CHRISTIAN PENROD CSW
1459 N MAIN ST # 100
BOUNTIFUL, UT 84010-6092
Phone number: 801-298-2000
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Mailing Address
JOHN CHRISTIAN PENROD CSW
1459 N MAIN ST # 100
BOUNTIFUL, UT 84010-6092
Phone number:
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