MARK BLAIN

MONA, UT
NPI1962823799
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2013-12-20
Last Update Date2013-12-20
Business Address
-- MARK BLAIN
525 W 200 N
MONA, UT 84645
Phone number: 435-623-2825
Mailing Address
-- MARK BLAIN
619 N 500 W
PROVO, UT 84601-1547
Phone number: 801-375-4240
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