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1649567033
KIMBERLI A NOVOTNY
PROVO, UT
NPI
1649567033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: UT 366756-4701)
Enumeration Date
2011-07-06
Last Update Date
2011-07-06
Business Address
-- KIMBERLI A NOVOTNY LMT
614 N 1100 E
PROVO, UT 84606-2040
Phone number: 801-318-5015
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Mailing Address
-- KIMBERLI A NOVOTNY LMT
614 N 1100 E
PROVO, UT 84606-2040
Phone number: 801-318-5015
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