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1467022186
EDWIN BRIGHTWELL
SLC, UT
NPI
1467022186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-06-25
Last Update Date
2021-06-25
Business Address
EDWIN BRIGHTWELL
252 W BROOKLYN AVE
SLC, UT 84101-3024
Phone number: 801-363-9400
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Mailing Address
EDWIN BRIGHTWELL
252 W BROOKLYN AVE
SLC, UT 84101-3024
Phone number:
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