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1780804872
JEFFRY HALE LARSON
PROVO, UT
NPI
1780804872
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: UT 115953-3902)
Enumeration Date
2007-04-30
Last Update Date
2024-10-06
Business Address
Dr. JEFFRY HALE LARSON Ph.D.
1190 N. 900 E. ROOM 274
PROVO, UT 84602
Phone number: 801-422-2344
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Mailing Address
Dr. JEFFRY HALE LARSON Ph.D.
274 TLRB
PROVO, UT 84602
Phone number: 801-422-2344
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