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1326343476
ALICIA ANN SHUPE
PROVO, UT
NPI
1326343476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT 7753217-6006)
Enumeration Date
2011-01-21
Last Update Date
2020-06-05
Business Address
Mrs. ALICIA ANN SHUPE SUDC
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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Mailing Address
Mrs. ALICIA ANN SHUPE SUDC
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
Copy
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