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1457444077
ROYACE ANN SHIVELY
PROVO, UT
NPI
1457444077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: UT 117606-2501)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
Dr. ROYACE ANN SHIVELY Ph.D
1571 WSC BRIGHAM YOUNG UNIVERSITY
PROVO, UT 84602
Phone number: 801-422-3035
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Mailing Address
Dr. ROYACE ANN SHIVELY Ph.D
1571 WSC BRIGHAM YOUNG UNIVERSITY
PROVO, UT 84602
Phone number: 801-422-3035
Copy
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