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1457371692
L BRENT HAFEN
SALT LAKE CITY, UT
NPI
1457371692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
170300000X Genetic Counselor, MS
(Licence: UT 51475563601)
Enumeration Date
2006-07-20
Last Update Date
2007-07-08
Business Address
-- L BRENT HAFEN MS
400 C ST
SALT LAKE CITY, UT 84143-1005
Phone number: 801-408-3897
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Mailing Address
-- L BRENT HAFEN MS
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-408-3897
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