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1720725740
BRIANNE MICHELLE JEWELL
SOUTH SALT LAKE, UT
NPI
1720725740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: UT 6267672-4202)
Enumeration Date
2022-05-19
Last Update Date
2022-05-19
Business Address
BRIANNE MICHELLE JEWELL COTA/L
2500 S STATE ST
SOUTH SALT LAKE, UT 84115-3164
Phone number: 385-646-5000
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Mailing Address
BRIANNE MICHELLE JEWELL COTA/L
8371 S MCKENZIE LN
WEST JORDAN, UT 84081-5905
Phone number: 801-864-0038
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