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1154787984
SAMUEL RUNYAN
PROVO, UT
NPI
1154787984
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-01-08
Last Update Date
2016-01-08
Business Address
-- SAMUEL RUNYAN
900 COLUMBIA LN
PROVO, UT 84604-1320
Phone number: 801-375-4240
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Mailing Address
-- SAMUEL RUNYAN
619 N 500 W
PROVO, UT 84601-1547
Phone number: 801-375-4240
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