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1972206761
JASON SUNDERLAND
LOGAN, UT
NPI
1972206761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-03-22
Last Update Date
2023-03-22
Business Address
JASON SUNDERLAND
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-753-9046
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Mailing Address
JASON SUNDERLAND
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-753-9046
Copy
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