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1760695514
BRUCE MCCLANAHAN BURNHAM
PROVO, UT
NPI
1760695514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 1033258906)
Enumeration Date
2007-05-08
Last Update Date
2013-12-27
Business Address
MR. BRUCE MCCLANAHAN BURNHAM PHYSICIAN ASSISTANT
3152 NORTH UNIVERSITY AVE SUITE 120
PROVO, UT 84604
Phone number: 801-375-2177
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Mailing Address
MR. BRUCE MCCLANAHAN BURNHAM PHYSICIAN ASSISTANT
11119 S PRESCOTT PARK CIR
SANDY, UT 84092-5098
Phone number: 801-562-0058
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