Individual
ISAAC WAYNE BLOUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21360 NORTH 1450 EAST, MORONI, UT 84646-0461
(435) 445-5200
(435) 445-5201
Mailing address
PO BOX 461, MORONI, UT 84646-0461
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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