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1386194280
ALEX GARRETT ERTL
DRAPER, UT
NPI
1386194280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: UT 10039833-2504)
Enumeration Date
2016-10-04
Last Update Date
2019-04-23
Business Address
ALEX GARRETT ERTL Psy.D.
248 E 13800 S #4
DRAPER, UT 84020-5010
Phone number: 801-816-1801
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Mailing Address
ALEX GARRETT ERTL Psy.D.
248 E 13800 S #4
DRAPER, UT 84020-5010
Phone number: 801-816-1801
Copy
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