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1083297238
ELLIE CLEGG
PROVO, UT
NPI
1083297238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-05-04
Last Update Date
2021-05-04
Business Address
ELLIE CLEGG
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-9656
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Mailing Address
ELLIE CLEGG
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-9656
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