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1306246228
DESIRAE CRUSE
OGDEN, UT
NPI
1306246228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2014-08-27
Last Update Date
2014-08-27
Business Address
-- DESIRAE CRUSE
3848 S HARRISON BLVD
OGDEN, UT 84408-0001
Phone number: 801-626-6000
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Mailing Address
-- DESIRAE CRUSE
13446 S FIREFLY LN APT 301
RIVERTON, UT 84096-7230
Phone number: 801-783-8921
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