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1548363864
BRYANT DEVAUGHN JENKS
PROVO, UT
NPI
1548363864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: UT 3101303902)
Enumeration Date
2006-09-06
Last Update Date
2007-07-08
Business Address
-- BRYANT DEVAUGHN JENKS MFT
750 NORTH 200 WEST
PROVO, UT 84601
Phone number: 801-373-4760
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Mailing Address
-- BRYANT DEVAUGHN JENKS MFT
750 NORTH 200 WEST
PROVO, UT 84601
Phone number: 801-373-4760
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