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1497417919
BENGT CHRISTIAN LOCK
PROVO, UT
NPI
1497417919
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 8869304-4405)
Enumeration Date
2021-10-12
Last Update Date
2022-05-11
Business Address
BENGT CHRISTIAN LOCK NP-C
320 RIVER PARK DR STE 215
PROVO, UT 84604-6065
Phone number: 801-874-1620
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Mailing Address
BENGT CHRISTIAN LOCK NP-C
1043 W DANDY CIR
BLUFFDALE, UT 84065-1638
Phone number: 801-931-9083
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