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1497281406
BRENT PICKETT
LOGAN, UT
NPI
1497281406
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
(Licence: UT 12423819-1204)
Enumeration Date
2017-05-11
Last Update Date
2022-02-17
Business Address
Dr. BRENT PICKETT
1350 N 500 E
LOGAN, UT 84341-2400
Phone number: 435-716-2800
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Mailing Address
Dr. BRENT PICKETT
260 N 750 E
VINEYARD, UT 84058-5816
Phone number: 435-760-1679
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