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1619402732
BRENTON WATERS
SALT LAKE CITY, UT
NPI
1619402732
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2017-04-26
Last Update Date
2019-02-14
Business Address
BRENTON WATERS PA-C
565 KOMAS DRIVE
SALT LAKE CITY, UT 84108
Phone number: 801-584-5144
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Mailing Address
BRENTON WATERS PA-C
565 KOMAS DRIVE
SALT LAKE CITY, UT 84108
Phone number: 801-584-5144
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