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1144758848
KRISTA LYNN MIRACLE
FARMINGTON, UT
NPI
1144758848
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
Enumeration Date
2017-05-25
Last Update Date
2022-07-21
Business Address
KRISTA LYNN MIRACLE DEM
473 S 1100 W
FARMINGTON, UT 84025-5003
Phone number: 801-923-8806
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Mailing Address
KRISTA LYNN MIRACLE DEM
473 S 1100 W
FARMINGTON, UT 84025-5003
Phone number: 801-923-8806
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