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1598039992
BRUCE RAY BREWER
MURRY, UT
NPI
1598039992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: UT 319691-2504)
Enumeration Date
2012-03-02
Last Update Date
2012-03-02
Business Address
-- BRUCE RAY BREWER PhD
22 WEST FIRECLAY AVE SUITE C-105
MURRY, UT 84107-2637
Phone number: 801-266-1499
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Mailing Address
-- BRUCE RAY BREWER PhD
3823 PEBBLE LN
PROVO, UT 84604-5268
Phone number: 801-371-0388
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