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1366223752
KARA MCRAE DURACCIO
PROVO, UT
NPI
1366223752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: UT 12468560-2501)
Enumeration Date
2023-10-11
Last Update Date
2023-10-11
Business Address
KARA MCRAE DURACCIO
1190 N 900 E
PROVO, UT 84604-3536
Phone number: 385-201-5427
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Mailing Address
KARA MCRAE DURACCIO
244 E 510 N
VINEYARD, UT 84059-6552
Phone number: 385-450-2664
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