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Individual

MRS. LAUREN AHLES WALLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
5121 S COTTONWOOD ST STE 100, MURRAY, UT 84107-5701
(801) 507-7424
(801) 507-7494
Mailing address
5121 S COTTONWOOD ST STE 100, MURRAY, UT 84107-5701
(801) 507-7424
(801) 507-7494

Taxonomy

Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
8403569-3601
UT

Other

Enumeration date
08/02/2011
Last updated
03/17/2018
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