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1780302158
GARRETT TANNER JEFFERIES
BOUNTIFUL, UT
NPI
1780302158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT 11454012-4405)
Enumeration Date
2022-08-22
Last Update Date
2023-09-06
Business Address
GARRETT TANNER JEFFERIES
533 W 2600 S STE 340
BOUNTIFUL, UT 84010-7768
Phone number: 801-382-8336
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Mailing Address
GARRETT TANNER JEFFERIES
90 W 500 S # 217
BOUNTIFUL, UT 84010-6230
Phone number: 540-809-8858
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