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1194294090
LAURA H DIXON
PROVO, UT
NPI
1194294090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: UT 4981535-2501)
Enumeration Date
2018-11-20
Last Update Date
2018-11-20
Business Address
LAURA H DIXON Phd
1190 NORTH 900 EAST
PROVO, UT 84604
Phone number: 801-422-7620
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Mailing Address
LAURA H DIXON Phd
1190 N 900 E
PROVO, UT 84604-3536
Phone number: 801-422-7620
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