Individual
LARESA MAE COLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 MEDICAL DR STE D101, BOUNTIFUL, UT 84010-8905
(801) 683-1062
Mailing address
474 WEST 200 NORTH STE 300, ST. GEORGE, UT 84770
(435) 634-5600
(435) 986-8700
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
07/29/2025
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