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1093356131
KRYSTALL GREENWELL
PROVO, UT
NPI
1093356131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-09-30
Last Update Date
2019-09-30
Business Address
KRYSTALL GREENWELL
1130 SMITH FIELD HOUSE BRIGHAM YOUNG UNIVERSITY
PROVO, UT 84604-8460
Phone number: 801-422-2946
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Mailing Address
KRYSTALL GREENWELL
410 N GENEVA RD
PROVO, UT 84601-1253
Phone number: 512-629-2065
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