BRANDON THATCHER

PROVO, UT
NPI1669814505
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT  7393923-4405)
Enumeration Date2013-07-19
Last Update Date2017-09-01
Business Address
-- BRANDON THATCHER F.M.H.N.P
1750 N WYMOUNT TERRACE DR
PROVO, UT 84602-7600
Phone number: 801-422-5156
Mailing Address
-- BRANDON THATCHER F.M.H.N.P
1750 N WYMOUNT TERRACE DR
PROVO, UT 84602-7600
Phone number:
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