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1760131916
CARLOS ALBERTO CHAVEZ ALCALA
PROVO, UT
NPI
1760131916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: UT 8550144-3102)
Enumeration Date
2022-03-23
Last Update Date
2022-03-23
Business Address
CARLOS ALBERTO CHAVEZ ALCALA
750 N FREEDOM BLVD STE 300
PROVO, UT 84601-1690
Phone number: 801-373-4760
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Mailing Address
CARLOS ALBERTO CHAVEZ ALCALA
750 N FREEDOM BLVD STE 300
PROVO, UT 84601-1690
Phone number: 801-373-4760
Copy
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