BRYANT DAVIS

MORONI, UT
NPI1932460102
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
(Licence: UT  272503815)
Enumeration Date2012-06-05
Last Update Date2012-06-05
Business Address
-- BRYANT DAVIS
21360 NORTH 1450 EAST
MORONI, UT 84646
Phone number: 435-445-5200
Mailing Address
-- BRYANT DAVIS
P.O. BOX 461 21360 NORTH 1450 EAST
MORONI, UT 84646
Phone number: 435-445-5200
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