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1104143270
GLENNA DIAMOND
SPRINGVILLE, UT
NPI
1104143270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2010-04-28
Last Update Date
2010-04-28
Business Address
-- GLENNA DIAMOND
757 S MAIN ST
SPRINGVILLE, UT 84663-2452
Phone number: 801-491-2270
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Mailing Address
-- GLENNA DIAMOND
757 S MAIN ST
SPRINGVILLE, UT 84663-2452
Phone number: 801-491-2270
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