BRENT LEE THOMPSON

SLC, UT
NPI1063863876
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner Primary Care
(Licence: UT  8021622-8900)
Enumeration Date2016-06-23
Last Update Date2016-06-23
Business Address
BRENT LEE THOMPSON NURSE PRACTITIONER
441 S REDWOOD RD
SLC, UT 84104-3539
Phone number: 801-973-2588
Mailing Address
BRENT LEE THOMPSON NURSE PRACTITIONER
441 S REDWOOD RD
SLC, UT 84104-3539
Phone number: 801-973-2588
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