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Individual

CANDACE PATTERSON LARSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
152 N 400 W, EPHRAIM, UT 84627
(435) 283-8400
(435) 283-8401
Mailing address
152 N 400 W, EPHRAIM, UT 84627-5549

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/11/2013
Last updated
05/31/2018
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