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1902454903
BRIAN MERLIN ALLEN
PROVO, UT
NPI
1902454903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: UT 4824225-2402)
Enumeration Date
2019-09-03
Last Update Date
2019-09-03
Business Address
BRIAN MERLIN ALLEN
1001 N 500 W
PROVO, UT 84604-3305
Phone number: 801-660-9280
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Mailing Address
BRIAN MERLIN ALLEN
597 E CENTER ST
HEBER CITY, UT 84032-1912
Phone number:
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