ANNA ALLER LARA

LOGAN, UT
NPI1861761975
Other NameANNA A LARA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  8170100-1206)
Enumeration Date2011-12-19
Last Update Date2016-11-29
Business Address
-- ANNA ALLER LARA PAC
1325 N 600 E STE 102
LOGAN, UT 84341-6744
Phone number: 435-753-9999
Mailing Address
-- ANNA ALLER LARA PAC
1325 N 600 E STE 102
LOGAN, UT 84341-6744
Phone number: 435-753-9999
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