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1568607281
BRET IRA JENKINS
LOGAN, UT
NPI
1568607281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2008-12-09
Last Update Date
2008-12-09
Business Address
-- BRET IRA JENKINS
1647 S 1280 W
LOGAN, UT 84321-6867
Phone number: 435-512-6377
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Mailing Address
-- BRET IRA JENKINS
1647 S 1280 W
LOGAN, UT 84321-6867
Phone number: 435-512-6377
Copy
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