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1164682506
LAURA ANN BLEISTEIN
PROVO, UT
NPI
1164682506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA Psy28404)
Enumeration Date
2008-06-10
Last Update Date
2023-03-22
Business Address
LAURA ANN BLEISTEIN PsyD
1300 E CENTER ST
PROVO, UT 84606-3554
Phone number: 801-344-4400
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Mailing Address
LAURA ANN BLEISTEIN PsyD
1300 E CENTER ST
PROVO, UT 84606-3554
Phone number: 801-344-4400
Copy
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