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1407127574
TIMOTHY WILLIAM PONCE
PROVO, UT
NPI
1407127574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: UT 6182814-3904)
Enumeration Date
2012-01-22
Last Update Date
2015-03-11
Business Address
Mr. TIMOTHY WILLIAM PONCE M.F.T.
750 N 200 W SUITE 300
PROVO, UT 84601-1677
Phone number: 801-373-4760
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Mailing Address
Mr. TIMOTHY WILLIAM PONCE M.F.T.
4501 N UNIVERSITY AVE
PROVO, UT 84604-5504
Phone number: 801-932-2526
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