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1255685111
MINDY SULLIVAN
PROVO, UT
NPI
1255685111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: UT 175727903)
Enumeration Date
2012-10-30
Last Update Date
2012-10-30
Business Address
-- MINDY SULLIVAN
750 N 200 E
PROVO, UT 84606-1705
Phone number: 801-373-4760
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Mailing Address
-- MINDY SULLIVAN
750 N 200 E
PROVO, UT 84606-1705
Phone number:
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