Individual
KRYSTLELIE DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSW
Contact information
Practice address
619 S 700 E, SAINT GEORGE, UT 84770-3990
(435) 688-1182
Mailing address
619 S 700 E, SAINT GEORGE, UT 84770-3990
(801) 643-9693
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8779911-3503
UT
Other
Enumeration date
01/10/2014
Last updated
02/04/2014
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