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1104202571
KYLE WADE
CLEARFIELD, UT
NPI
1104202571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2015-08-07
Last Update Date
2015-08-07
Business Address
-- KYLE WADE
189 S STATE ST SUITE 222
CLEARFIELD, UT 84015-1061
Phone number: 801-255-5131
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Mailing Address
-- KYLE WADE
6013 S REDWOOD RD
TAYLORSVILLE, UT 84123-5220
Phone number: 801-255-5131
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