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1437422995
BRENT FARR ROBERTSON
SALT LAKE CITY, UT
NPI
1437422995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: UT 168260-1205)
Enumeration Date
2012-02-14
Last Update Date
2012-02-14
Business Address
-- BRENT FARR ROBERTSON M.D.
1321 E SOUTH TEMPLE 5
SALT LAKE CITY, UT 84102-1830
Phone number: 801-643-5809
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Mailing Address
-- BRENT FARR ROBERTSON M.D.
1321 E SOUTH TEMPLE 5
SALT LAKE CITY, UT 84102-1830
Phone number: 801-643-5809
Copy
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