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1134404726
JACEK M BREWCZYNSKI
SALT LAKE CITY, UT
NPI
1134404726
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2011-10-15
Last Update Date
2011-10-15
Business Address
Dr. JACEK M BREWCZYNSKI PhD
SALT LAKE CITY HEALTH CARE SYSTEM 500 FOOTHILL DRIVE (116 OP)
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
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Mailing Address
Dr. JACEK M BREWCZYNSKI PhD
2256 FOOTHILL DR APT 114
SALT LAKE CITY, UT 84109
Phone number: 248-730-6462
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