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1851711477
ADOLESCENT ESCORT SERVICE
WASHINGTON, UT
NPI
1851711477
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Entity Type
Organization
Authorized Contact
IAN GERRITSEN
Owner
435-701-6984
Organization Subpart ?
No
Primary Taxonomy
347C00000X Private Vehicle
(Licence: UT 1796)
Enumeration Date
2014-04-22
Last Update Date
2014-04-22
Business Address
ADOLESCENT ESCORT SERVICE
1865 S CANTLE CIR
WASHINGTON, UT 84780-2121
Phone number: 435-701-6984
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Mailing Address
ADOLESCENT ESCORT SERVICE
1865 S CANTLE CIR
WASHINGTON, UT 84780-2121
Phone number:
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