Individual
MRS. MCCALL LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-4674
Mailing address
560 W 1800 N, PROVO, UT 84604-1438
(703) 357-3386
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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