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1366481806
DOUGLAS BRENT NIELSEN
BOUNTIFUL, UT
NPI
1366481806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: UT 1648271205)
Enumeration Date
2006-06-06
Last Update Date
2009-06-26
Business Address
Dr. DOUGLAS BRENT NIELSEN MD
390 N MAIN ST
BOUNTIFUL, UT 84010-6046
Phone number: 801-294-1080
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Mailing Address
Dr. DOUGLAS BRENT NIELSEN MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-294-1080
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