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1215378377
TYLER ASHTON BRIDGEWATER
BOUNTIFUL, UT
NPI
1215378377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 7078841-4405)
Enumeration Date
2013-07-17
Last Update Date
2013-07-17
Business Address
-- TYLER ASHTON BRIDGEWATER FNP-C
401 S 400 E
BOUNTIFUL, UT 84010-4933
Phone number: 801-295-2361
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Mailing Address
-- TYLER ASHTON BRIDGEWATER FNP-C
976 FOXBORO DR
NORTH SALT LAKE, UT 84054-6002
Phone number: 801-244-8968
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