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1306238175
MERCEDES JAMIE LARSEN
PRICE, UT
NPI
1306238175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-03-03
Last Update Date
2015-03-03
Business Address
-- MERCEDES JAMIE LARSEN
575 EAST 100 SOUTH
PRICE, UT 84501-0000
Phone number: 435-637-2358
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Mailing Address
-- MERCEDES JAMIE LARSEN
PO BOX 867
WELLINGTON, UT 84501-0867
Phone number: 435-637-7200
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