Individual
DEVIN BRUCE DEARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
836 N 1375 W, PROVO, UT 84604-3049
(801) 375-2523
Mailing address
138 N 550 E, LINDON, UT 84042-2539
(801) 734-0746
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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