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1518260280
TYLER R. PEDERSEN
PROVO, UT
NPI
1518260280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: UT 4911738-2501)
Enumeration Date
2010-12-17
Last Update Date
2010-12-17
Business Address
Dr. TYLER R. PEDERSEN Ph.D.
1500 WSC
PROVO, UT 84602
Phone number: 801-830-9155
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Mailing Address
Dr. TYLER R. PEDERSEN Ph.D.
1500 WSC
PROVO, UT 84602
Phone number: 801-422-3035
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