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1609986843
PRESTON LAMAR EYRE
PROVO, UT
NPI
1609986843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 123941 3501)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
-- PRESTON LAMAR EYRE LCSW
750 NORTH 200 WEST
PROVO, UT 84601
Phone number: 801-373-4760
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Mailing Address
-- PRESTON LAMAR EYRE LCSW
750 NORTH 200 WEST
PROVO, UT 84601
Phone number: 801-373-4760
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