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1083129365
DESRA EVANS
RICHFIELD, UT
NPI
1083129365
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-12-07
Last Update Date
2017-12-07
Business Address
DESRA EVANS
255 S MAIN ST
RICHFIELD, UT 84701-2699
Phone number: 435-896-8236
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Mailing Address
DESRA EVANS
152 N 400 W
EPHRAIM, UT 84627-5549
Phone number: 435-283-8400
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