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1861761975
ANNA ALLER LARA
LOGAN, UT
NPI
1861761975
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Other Name
ANNA A LARA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 8170100-1206)
Enumeration Date
2011-12-19
Last Update Date
2016-11-29
Business Address
-- ANNA ALLER LARA PAC
1325 N 600 E STE 102
LOGAN, UT 84341-6744
Phone number: 435-753-9999
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Mailing Address
-- ANNA ALLER LARA PAC
1325 N 600 E STE 102
LOGAN, UT 84341-6744
Phone number: 435-753-9999
Copy
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