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1720194269
BRIAN M SMITH
PROVO, UT
NPI
1720194269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 1150512401)
Enumeration Date
2006-08-21
Last Update Date
2007-07-08
Business Address
BRIAN M SMITH PT
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-373-7850
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Mailing Address
BRIAN M SMITH PT
PO BOX 30180
SALT LAKE CITY, UT 84130-0180
Phone number: 801-357-7475
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