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1265467567
LEE S BROADBENT
LOGAN, UT
NPI
1265467567
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: UT 731556181205)
Enumeration Date
2006-07-12
Last Update Date
2008-02-20
Business Address
-- LEE S BROADBENT MD
550 E 1400 N SUITE D
LOGAN, UT 84341
Phone number: 435-752-7122
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Mailing Address
-- LEE S BROADBENT MD
550 E 1400 N SUITE D
LOGAN, UT 84341
Phone number: 435-752-7122
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