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1053631069
TYE B HARRISON
BRIGHAM CITY, UT
NPI
1053631069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
(Licence: UT 9857371-1204)
Enumeration Date
2010-06-02
Last Update Date
2023-10-24
Business Address
TYE B HARRISON D.O.
600 W HOSPITAL RD
BRIGHAM CITY, UT 84302-3006
Phone number: 435-734-2041
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Mailing Address
TYE B HARRISON D.O.
2561 S 1560 W STE B
WOODS CROSS, UT 84087-2361
Phone number: 801-505-0821
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