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1356925820
BRIAN MAYNARD
LOGAN, UT
NPI
1356925820
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 348531-4405)
Enumeration Date
2021-05-10
Last Update Date
2023-02-06
Business Address
Dr. BRIAN MAYNARD DNP, FNP-BC
630 E 1400 N
LOGAN, UT 84341-2691
Phone number: 435-915-4465
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Mailing Address
Dr. BRIAN MAYNARD DNP, FNP-BC
2986 W 2600 S
WEST HAVEN, UT 84401-5006
Phone number: 801-589-0631
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