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1184645624
BRYAN S MAULDEN
MIDVALE, UT
NPI
1184645624
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: UT 3093491205)
Enumeration Date
2006-07-21
Last Update Date
2007-10-16
Business Address
-- BRYAN S MAULDEN MD
1225 FORT UNION BLVD STE 215
MIDVALE, UT 84047-1882
Phone number: 801-501-4350
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Mailing Address
-- BRYAN S MAULDEN MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-501-4350
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