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1437452745
BROCK BENNETT
KAYSVILLE, UT
NPI
1437452745
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111NS0005X Chiropractor Sports Physician
(Licence: UT 5493087-1202)
Enumeration Date
2010-12-08
Last Update Date
2010-12-08
Business Address
BROCK BENNETT D.C.
447 N 300 W SUITE #5
KAYSVILLE, UT 84037-4203
Phone number: 801-544-2355
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Mailing Address
BROCK BENNETT D.C.
447 N 300 W SUITE #5
KAYSVILLE, UT 84037-4203
Phone number: 801-544-2355
Copy
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