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Individual

ANTHONY PACO BERNAOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3280 W 3500 S STE E, WEST VALLEY CITY, UT 84119-2668
(801) 979-1351
Mailing address
3280 W 3500 S STE E, WEST VALLEY CITY, UT 84119-2668

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
05/18/2022
Last updated
05/18/2022
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