Justin Shaun Stockberger

NPI 1023316445 - Counselor - 101Y00000X

NPI Details
NPI 1023316445
Gender Male
Enumeration Date 03/09/2011
Last Updated 03/09/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
5965 S 900 E
SALT LAKE CITY UT, 84121-1720, US
Phone (801) 263-7250
Business Location
650 N 300 W
SALT LAKE CITY UT, 84103-1339, US
Phone (801) 245-0933
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Mr. Justin Shaun Stockberger NPI is 1023316445, taxonomy code is 101Y00000X Justin Shaun Stockberger physically located at 5965 S 900 E, Salt Lake City UT, 84121-1720. NPI Number Justin Shaun Stockberger has the Individual type.

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1023316445 NPI number is provided on an as is basis without warranty of any kind. 1023316445 is maintained by the National Plan & Provider Enumeration System. The contents of Justin Shaun Stockberger are for informational purposes only.