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1174166425
KARLA M MEDINA
PROVO, UT
NPI
1174166425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 6810875-3506)
Enumeration Date
2019-10-18
Last Update Date
2019-10-18
Business Address
KARLA M MEDINA
1726 BUCKLEY LN
PROVO, UT 84606-5031
Phone number: 801-373-6562
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Mailing Address
KARLA M MEDINA
1726 BUCKLEY LN
PROVO, UT 84606-5031
Phone number: 801-373-6562
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