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1790153161
CHARLYNN BLACKER
PROVO, UT
NPI
1790153161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-09-02
Last Update Date
2015-09-02
Business Address
-- CHARLYNN BLACKER
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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Mailing Address
-- CHARLYNN BLACKER
1261 E 550 S
SPANISH FORK, UT 84660-2611
Phone number: 801-798-0692
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