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1063863876
BRENT LEE THOMPSON
SLC, UT
NPI
1063863876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: UT 8021622-8900)
Enumeration Date
2016-06-23
Last Update Date
2016-06-23
Business Address
-- BRENT LEE THOMPSON Nurse Practitioner
441 S REDWOOD RD
SLC, UT 84104-3539
Phone number: 801-973-2588
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Mailing Address
-- BRENT LEE THOMPSON Nurse Practitioner
441 S REDWOOD RD
SLC, UT 84104-3539
Phone number: 801-973-2588
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