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Individual

WANDALYN FAYE BORNEMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
735 S 200 W STE 1, BLANDING, UT 84511-3923
(435) 678-2992
(435) 678-3116
Mailing address
735 S 200 W STE 1, BLANDING, UT 84511-3923
(435) 678-2992
(435) 678-3116

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/03/2025
Last updated
06/03/2025
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