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1972976082
MAX AH QUIN
PROVO, UT
NPI
1972976082
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 5847195-6004)
Enumeration Date
2015-11-11
Last Update Date
2015-11-11
Business Address
-- MAX AH QUIN C.M.H.C.
3507 N UNIVERSITY AVE SUITE 350
PROVO, UT 84604-4478
Phone number: 801-830-2889
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Mailing Address
-- MAX AH QUIN C.M.H.C.
511 W 630 S
OREM, UT 84058-6131
Phone number: 801-830-2889
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