Individual
JOSHUA DALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
739 W 500 S, BRIGHAM CITY, UT 84302-2820
(435) 723-6077
Mailing address
739 W 500 S, BRIGHAM CITY, UT 84302-2820
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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