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1578839742
LAURA JACOBSEN CARTER
PROVO, UT
NPI
1578839742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
(Licence: UT 8161058-6009)
Enumeration Date
2012-03-31
Last Update Date
2012-03-31
Business Address
-- LAURA JACOBSEN CARTER MHC/ LPC
1835 N 1120 W
PROVO, UT 84604-1180
Phone number: 801-477-0532
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Mailing Address
-- LAURA JACOBSEN CARTER MHC/ LPC
105 W 1200 S
PAYSON, UT 84651-3211
Phone number: 801-465-6909
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