BRANDON BACK

PROVO, UT
NPI1497179493
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
Enumeration Date2014-02-11
Last Update Date2016-11-17
Business Address
BRANDON BACK
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
Mailing Address
BRANDON BACK
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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