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1063020949
JUSTIN MICHAEL WOODRUFF
BRIGHAM CITY, UT
NPI
1063020949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 9391864-4405)
Enumeration Date
2020-07-16
Last Update Date
2020-10-09
Business Address
JUSTIN MICHAEL WOODRUFF NP-C
663 PARKER LANE
BRIGHAM CITY, UT 84302
Phone number: 435-734-9449
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Mailing Address
JUSTIN MICHAEL WOODRUFF NP-C
663 PARKER LANE
BRIGHAM CITY, UT 84302
Phone number: 435-734-9449
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