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1023854494
BRIGHAM TAYLOR
IDAHO FALLS, ID
NPI
1023854494
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-07-05
Last Update Date
2024-07-05
Business Address
BRIGHAM TAYLOR PA
3385 POTOMAC WAY
IDAHO FALLS, ID 83404-4978
Phone number: 208-522-7246
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Mailing Address
BRIGHAM TAYLOR PA
182 E 9000 S
REXBURG, ID 83440-4614
Phone number: 208-403-4926
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