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Individual

NOLAN K CLAWSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
22000 N 10380 E, FAIRVIEW, UT 84629
(435) 427-5704
(435) 427-5703
Mailing address
PO BOX 461, MORONI, UT 84646
(435) 445-5200
(435) 445-5201

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
10/30/2012
Last updated
10/30/2012
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