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1952329351
JOHN ELLIS BODEN
SOUTH JORDAN, UT
NPI
1952329351
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Other Name
JACK ELLIS BODEN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: UT 5006522-6004)
Enumeration Date
2006-07-17
Last Update Date
2010-05-13
Business Address
Mr. JOHN ELLIS BODEN LPC
1258 W SOUTH JORDAN PKWY SUITE 202
SOUTH JORDAN, UT 84095-4711
Phone number: 801-255-1155
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Mailing Address
Mr. JOHN ELLIS BODEN LPC
PO BOX 694
AMERICAN FORK, UT 84003-0694
Phone number: 801-400-0734
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