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1124266903
LARRY E DIXON
DELTA, UT
NPI
1124266903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT 331882-6006)
Enumeration Date
2009-02-01
Last Update Date
2009-02-01
Business Address
-- LARRY E DIXON L.S.A.C.
58 E MAIN ST STE 7
DELTA, UT 84624-9500
Phone number: 435-979-6372
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Mailing Address
-- LARRY E DIXON L.S.A.C.
PO BOX 387
DELTA, UT 84624-0387
Phone number: 435-979-6372
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