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1992330732
JUSTIN MANCO
BOUNTIFUL, UT
NPI
1992330732
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: UT 10190973-6004)
Enumeration Date
2020-03-11
Last Update Date
2020-10-19
Business Address
JUSTIN MANCO CMHC
415 MEDICAL DR STE D101
BOUNTIFUL, UT 84010-8905
Phone number: 801-683-1062
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Mailing Address
JUSTIN MANCO CMHC
415 MEDICAL DR STE D101
BOUNTIFUL, UT 84010-8905
Phone number:
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