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1407190754
COLTON EARL GRISHAM
BRIGHAM CITY, UT
NPI
1407190754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
253J00000X Foster Care Agency
Enumeration Date
2012-11-26
Last Update Date
2012-11-26
Business Address
-- COLTON EARL GRISHAM
862 S MAIN ST #4
BRIGHAM CITY, UT 84302-3320
Phone number: 435-723-1799
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Mailing Address
-- COLTON EARL GRISHAM
862 S MAIN ST #4
BRIGHAM CITY, UT 84302-3320
Phone number: 435-723-1799
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