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1497888606
STEVAN LARS NIELSEN
PROVO, UT
NPI
1497888606
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: UT 115238-2501)
Enumeration Date
2007-03-14
Last Update Date
2010-12-03
Business Address
Dr. STEVAN LARS NIELSEN Ph.D.
1526 WSC, BYU
PROVO, UT 84602
Phone number: 801-422-3035
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Mailing Address
Dr. STEVAN LARS NIELSEN Ph.D.
1526 WSC BYU
PROVO, UT 84602
Phone number: 801-422-3035
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