BREELYN JAN VAN LEEUWEN

PROVO, UT
NPI1043640071
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  8808600-1206)
Enumeration Date2013-11-12
Last Update Date2014-01-09
Business Address
-- BREELYN JAN VAN LEEUWEN PA-C, MSPA
1055 N 500 W STE 211
PROVO, UT 84604-3305
Phone number: 801-357-7327
Mailing Address
-- BREELYN JAN VAN LEEUWEN PA-C, MSPA
1055 N 500 W
PROVO, UT 84604-3305
Phone number: 801-812-4673
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