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1710243795
MATTHEW H LARSON
EPHRAIM, UT
NPI
1710243795
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: UT 272503815)
Enumeration Date
2012-04-04
Last Update Date
2012-04-04
Business Address
MATTHEW H LARSON
390 EAST 100 SOUTH
EPHRAIM, UT 84627
Phone number: 435-851-6709
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Mailing Address
MATTHEW H LARSON
PO BOX 461
MORONI, UT 84646-0461
Phone number:
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