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1235474453
NINA D AMPUERO
PROVO, UT
NPI
1235474453
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2012-11-28
Last Update Date
2012-11-28
Business Address
-- NINA D AMPUERO
750 N 200 E
PROVO, UT 84606-1705
Phone number: 801-373-4760
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Mailing Address
-- NINA D AMPUERO
750 N 200 E
PROVO, UT 84606-1705
Phone number: 801-373-4760
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