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1649353715
GARY LYLE CRAWFORD
PROVO, UT
NPI
1649353715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: UT 145474-9924)
Enumeration Date
2006-10-23
Last Update Date
2022-06-23
Business Address
Dr. GARY LYLE CRAWFORD DDS
777 N 500 W
PROVO, UT 84601-1541
Phone number: 801-375-4707
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Mailing Address
Dr. GARY LYLE CRAWFORD DDS
79 N PALISADES DR
OREM, UT 84097-8218
Phone number: 801-224-5873
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