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1497246623
KARYN COPPOCK TAKKE
OREM, UT
NPI
1497246623
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-05-23
Last Update Date
2018-05-23
Business Address
KARYN COPPOCK TAKKE
1465 W CENTER ST
OREM, UT 84057-5104
Phone number: 801-224-2968
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Mailing Address
KARYN COPPOCK TAKKE
758 W 2100 N
PROVO, UT 84604-1240
Phone number: 801-918-9053
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