BRYAN FONG

MURRAY, UT
NPI1588905202
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: UT  123378-4701)
Enumeration Date2013-03-05
Last Update Date2013-03-05
Business Address
-- BRYAN FONG LMT
5258 S PINEMONT DR # B-105
MURRAY, UT 84123-4614
Phone number: 801-639-0444
Mailing Address
-- BRYAN FONG LMT
5258 S PINEMONT DR # B-105
MURRAY, UT 84123-4614
Phone number: 801-639-0444
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