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1245296623
BRYAN M WATABE
AMERICAN FORK, UT
NPI
1245296623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: UT 55948341205)
Enumeration Date
2006-04-25
Last Update Date
2013-12-12
Business Address
-- BRYAN M WATABE M.D.
1159 E 200 N #250
AMERICAN FORK, UT 84003-2022
Phone number: 801-855-2980
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Mailing Address
-- BRYAN M WATABE M.D.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-855-2980
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