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1174288575
BRYAN ELLIS
LEHI, UT
NPI
1174288575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 12537569-1206)
Enumeration Date
2021-11-01
Last Update Date
2023-02-10
Business Address
BRYAN ELLIS PA-C
680 E MAIN ST STE 201
LEHI, UT 84043-2251
Phone number: 801-768-8800
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Mailing Address
BRYAN ELLIS PA-C
13658 S FORT ST
DRAPER, UT 84020-9278
Phone number:
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