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1073877767
KRYSTAL MITCHELL LEAAETOA
SPRINGVILLE, UT
NPI
1073877767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: UT 7114746-3502)
Enumeration Date
2012-06-27
Last Update Date
2012-06-27
Business Address
-- KRYSTAL MITCHELL LEAAETOA
1672 W 700 S SUITE D
SPRINGVILLE, UT 84663-4963
Phone number: 801-489-9721
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Mailing Address
-- KRYSTAL MITCHELL LEAAETOA
1672 W 700 S SUITE D
SPRINGVILLE, UT 84663-4963
Phone number: 801-489-9721
Copy
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