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1184363384
DALTON LEE BRAATHEN
SALT LAKE CITY, UT
NPI
1184363384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-06-03
Last Update Date
2022-06-03
Business Address
DALTON LEE BRAATHEN
30 N 1900 E
SALT LAKE CITY, UT 84132-0006
Phone number: 801-581-7498
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Mailing Address
DALTON LEE BRAATHEN
6159 W HERITAGE HILL DR
HERRIMAN, UT 84096-7254
Phone number: 425-343-4825
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