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1417405044
BRETT LAVAR CARROLL
SALT LAKE CITY, UT
NPI
1417405044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: UT 292953-4405)
Enumeration Date
2016-09-12
Last Update Date
2017-12-12
Business Address
BRETT LAVAR CARROLL A.P.R.N.
8 TH AVE & C STREET E8
SALT LAKE CITY, UT 84143-0001
Phone number: 801-408-3729
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Mailing Address
BRETT LAVAR CARROLL A.P.R.N.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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