BENGT CHRISTIAN LOCK

PROVO, UT
NPI1497417919
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: UT  8869304-4405)
Enumeration Date2021-10-12
Last Update Date2022-05-11
Business Address
BENGT CHRISTIAN LOCK NP-C
320 RIVER PARK DR STE 215
PROVO, UT 84604-6065
Phone number: 801-874-1620
Mailing Address
BENGT CHRISTIAN LOCK NP-C
1043 W DANDY CIR
BLUFFDALE, UT 84065-1638
Phone number: 801-931-9083
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