SUSAN EASTON BLACK

PROVO, UT
NPI1003175183
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: UT  8133414-2504)
Enumeration Date2012-05-10
Last Update Date2012-05-10
Business Address
-- SUSAN EASTON BLACK
1190 N 900 E
PROVO, UT 84604-3536
Phone number: 801-422-7620
Mailing Address
-- SUSAN EASTON BLACK
1190 N 900 E
PROVO, UT 84604-3536
Phone number: 801-422-7620
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