BRETT LAVAR CARROLL

SALT LAKE CITY, UT
NPI1417405044
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: UT  292953-4405)
Enumeration Date2016-09-12
Last Update Date2017-12-12
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
Mailing Address
BRETT LAVAR CARROLL A.P.R.N.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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