TRUDY LARISSA SAMUELSON

PROVO, UT
NPI1528335619
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2011-11-17
Last Update Date2011-11-17
Business Address
-- TRUDY LARISSA SAMUELSON APC
1726 BUCKLEY LN
PROVO, UT 84606-5031
Phone number: 801-373-6562
Mailing Address
-- TRUDY LARISSA SAMUELSON APC
1726 BUCKLEY LN
PROVO, UT 84606-5031
Phone number: 801-373-6562
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