TYLER STEVEN POULSON

MORONI, UT
NPI1902163678
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
Enumeration Date2012-04-18
Last Update Date2012-04-18
Business Address
-- TYLER STEVEN POULSON
21260 NORTH 1450 EAST
MORONI, UT 84646
Phone number: 435-445-5200
Mailing Address
-- TYLER STEVEN POULSON
PO BOX 461
MORONI, UT 84646-0461
Phone number: 435-445-5200
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