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1225297419
MINDY CROCKETT
PROVO, UT
NPI
1225297419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: UT 6434151-4901)
Enumeration Date
2008-06-03
Last Update Date
2022-06-30
Business Address
MINDY CROCKETT RDN, CD
395 W BULLDOG BLVD
PROVO, UT 84604-3311
Phone number: 801-357-8143
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Mailing Address
MINDY CROCKETT RDN, CD
395 W BULLDOG BLVD FL 4
PROVO, UT 84604-3311
Phone number: 801-357-8143
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