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1588256622
CRISTAL BEDOLLA
WEST VALLEY, UT
NPI
1588256622
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: UT 118051451206)
Enumeration Date
2021-02-10
Last Update Date
2021-02-10
Business Address
CRISTAL BEDOLLA PA-C
3460 SOUTH 4155 WEST #3460
WEST VALLEY, UT 84120
Phone number: 801-964-3100
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Mailing Address
CRISTAL BEDOLLA PA-C
4589 GLASMANN WAY
OGDEN, UT 84403-3083
Phone number: 801-391-5963
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