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Individual

CRYSTAL PUGMIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2940 N CHURCH ST, LAYTON, UT 84040-6614
(858) 264-5858
Mailing address
515 S 700 E STE 2A, SALT LAKE CITY, UT 84102-2855

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
01/12/2022
Last updated
01/12/2022
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