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1912750688
ANTHONY EDLEFSEN
BRIGHAM CITY, UT
NPI
1912750688
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 11699198-6004)
Enumeration Date
2024-04-10
Last Update Date
2024-09-11
Business Address
ANTHONY EDLEFSEN
35 SKYLINE DR
BRIGHAM CITY, UT 84302-6772
Phone number: 801-255-5131
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Mailing Address
ANTHONY EDLEFSEN
6013 S REDWOOD RD
TAYLORSVILLE, UT 84123-5220
Phone number:
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