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Individual

ELVA JANETTE BALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
544 E 1200 S, HEBER CITY, UT 84032-4497
(435) 654-5500
Mailing address
1884 LITTLE VALLEY RD, WALLSBURG, UT 84082-9782
(707) 628-9056

Taxonomy

Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
13903889-4003
UT

Other

Enumeration date
05/07/2024
Last updated
05/07/2024
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