COURAGE BRIANT COTTRELL

PROVO, UT
NPI1568005643
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2019-10-22
Last Update Date2019-10-22
Business Address
COURAGE BRIANT COTTRELL
836 N 1375 W
PROVO, UT 84604-3049
Phone number: 801-319-6772
Mailing Address
COURAGE BRIANT COTTRELL
299 N 200 W
BOUNTIFUL, UT 84010-7043
Phone number: 801-815-3443