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1245651348
PAUL WIEDERHOLD
SPANISH FORK, UT
NPI
1245651348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
253J00000X Foster Care Agency
(Licence: UT 19734)
Enumeration Date
2013-12-17
Last Update Date
2013-12-17
Business Address
PAUL WIEDERHOLD
704 N STATE ROAD 51
SPANISH FORK, UT 84660-1385
Phone number: 801-794-0318
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Mailing Address
PAUL WIEDERHOLD
704 N STATE ROAD 51
SPANISH FORK, UT 84660-1385
Phone number: 801-794-0318
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