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1588040075
BRYN LARSEN
PROVO, UT
NPI
1588040075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-08-06
Last Update Date
2015-08-06
Business Address
-- BRYN LARSEN
836 N 1375 W
PROVO, UT 84604-3049
Phone number: 801-375-2523
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Mailing Address
-- BRYN LARSEN
501 W 2600 S SUITE 201
BOUNTIFUL, UT 84010-7784
Phone number:
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