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1497329858
BRIGHAM JOEL FOSSON
PROVO, UT
NPI
1497329858
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT 8891331-4405)
Enumeration Date
2021-05-19
Last Update Date
2023-07-05
Business Address
Mr. BRIGHAM JOEL FOSSON APRN
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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Mailing Address
Mr. BRIGHAM JOEL FOSSON APRN
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
Copy
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