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1134422538
BREVAN B BAUGH
PROVIDENCE, UT
NPI
1134422538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175F00000X Naturopath
(Licence: UT 7730185-7100)
Enumeration Date
2010-12-07
Last Update Date
2014-10-13
Business Address
Dr. BREVAN B BAUGH N.D.
565 W 465 N SUITE 150
PROVIDENCE, UT 84332-4801
Phone number: 435-213-3029
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Mailing Address
Dr. BREVAN B BAUGH N.D.
565 W 465 N SUITE 150
PROVIDENCE, UT 84332-4801
Phone number: 435-213-3029
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