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1114225166
CRYSTAL ADAMS
SANTAQUIN, UT
NPI
1114225166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2011-02-28
Last Update Date
2011-02-28
Business Address
-- CRYSTAL ADAMS
488 N 500 W
SANTAQUIN, UT 84655-5104
Phone number: 801-358-6815
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Mailing Address
-- CRYSTAL ADAMS
488 N 500 W
SANTAQUIN, UT 84655-5104
Phone number: 801-358-6815
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