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1497279228
JUSTIN GRANT BROWN
PROVO, UT
NPI
1497279228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 10385535-2401)
Enumeration Date
2017-08-02
Last Update Date
2017-08-02
Business Address
JUSTIN GRANT BROWN DPT
524 W 300 N
PROVO, UT 84601-2667
Phone number: 801-370-9981
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Mailing Address
JUSTIN GRANT BROWN DPT
129 S 700 W
PROVO, UT 84601-4251
Phone number: 801-709-8744
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