Mercedes Jamie Larsen

NPI #1306238175 in Price, Utah

Provider Information

NPI Number: 1306238175
Entity Type: Individual
Name: Mercedes Jamie Larsen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Mar 3, 2015
Last Updated: Mar 3, 2015

Practice Location

Address: 575 EAST 100 SOUTH
City: Price
State: Utah
ZIP Code: 84501-0000
Phone: (435) 637-2358

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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