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1053086207
NATHAN ALEXIS SPENCER
PROVO, UT
NPI
1053086207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 13043522-6009)
Enumeration Date
2021-08-10
Last Update Date
2023-04-27
Business Address
Mr. NATHAN ALEXIS SPENCER MSpecEd
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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Mailing Address
Mr. NATHAN ALEXIS SPENCER MSpecEd
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
Copy
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