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1801153077
LAURA ELIZABETH CROCKETT
PROVO, UT
NPI
1801153077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-04-12
Last Update Date
2012-04-12
Business Address
-- LAURA ELIZABETH CROCKETT
723 W 1850 N
PROVO, UT 84604-1416
Phone number: 801-375-4240
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Mailing Address
-- LAURA ELIZABETH CROCKETT
619 N 500 W
PROVO, UT 84601-1547
Phone number: 801-375-4240
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