Ben Vandyke

NPI 1245537539 - Foster Care Agency - 253J00000X

NPI Details
NPI 1245537539
Gender Male
Enumeration Date 02/22/2011
Last Updated 02/22/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
862 S MAIN ST
BRIGHAM CITY UT, 84302-3320, US
Phone (435) 723-1799
Fax
Business Location
862 S MAIN ST
BRIGHAM CITY UT, 84302-3320, US
Phone (435) 723-1799
Fax
Toxanomy
Taxonomy Code 253J00000X
License State
License Number
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According to our database, Ben Vandyke NPI is 1245537539, taxonomy code is 253J00000X Ben Vandyke physically located at 862 S Main St, Brigham City UT, 84302-3320. NPI Number Ben Vandyke has the Individual type.

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1245537539 NPI number is provided on an as is basis without warranty of any kind. 1245537539 is maintained by the National Plan & Provider Enumeration System. The contents of Ben Vandyke are for informational purposes only.