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Individual

LYNDEE GUBLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1361 N 1075 W STE 11B, FARMINGTON, UT 84025-2876
(801) 787-4739
Mailing address
2088 KINGSTON RD, FARMINGTON, UT 84025-4106
(801) 787-4739

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01420795
NY
Enumeration date
06/24/2009
Last updated
10/07/2021
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