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1679810956
SAM ATWATER
PROVO, UT
NPI
1679810956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2013-01-07
Last Update Date
2013-01-07
Business Address
-- SAM ATWATER
619 N 500 W
PROVO, UT 84601-1547
Phone number: 801-375-4240
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Mailing Address
-- SAM ATWATER
619 N 500 W
PROVO, UT 84601-1547
Phone number: 801-375-4240
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