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1215402631
AUSTIN EDGAR BRANNON
SOUTH SALT LAKE, UT
NPI
1215402631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 11835547-1206)
Enumeration Date
2018-10-11
Last Update Date
2022-06-29
Business Address
AUSTIN EDGAR BRANNON
2580 S 300 E
SOUTH SALT LAKE, UT 84115-3241
Phone number: 801-243-1041
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Mailing Address
AUSTIN EDGAR BRANNON
2580 S 300 E
SOUTH SALT LAKE, UT 84115-3241
Phone number: 801-243-1041
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