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1235275611
ANNETTE S BRAZELL
SLC, UT
NPI
1235275611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 215445-4405)
Enumeration Date
2007-01-30
Last Update Date
2016-02-09
Business Address
-- ANNETTE S BRAZELL APRN
50 N MEDICAL DR
SLC, UT 84132-0001
Phone number: 801-581-6393
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Mailing Address
-- ANNETTE S BRAZELL APRN
PO BOX 30180
SALT LAKE CITY, UT 84130-0180
Phone number: 801-673-0804
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