KALIE ANN LARSON

PROVO, UT
NPI1427306752
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: UT  8334450-4701)
Enumeration Date2012-08-16
Last Update Date2012-08-16
Business Address
Mrs. KALIE ANN LARSON L.M.T.
370 S 200 E BSMT
PROVO, UT 84606-4608
Phone number: 509-389-4172
Mailing Address
Mrs. KALIE ANN LARSON L.M.T.
370 S 200 E BSMT
PROVO, UT 84606-4608
Phone number: 509-389-4172
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