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1023038114
BRENT L GRIFFIN
PROVO, UT
NPI
1023038114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: UT 1619961205)
Enumeration Date
2006-07-20
Last Update Date
2021-08-12
Business Address
BRENT L GRIFFIN MD
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-4542
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Mailing Address
BRENT L GRIFFIN MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-357-4542
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