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1962650184
JEDEDIAH S BRISCOE
SALT LAKE CITY, UT
NPI
1962650184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 334170-4408)
Enumeration Date
2008-08-29
Last Update Date
2008-10-13
Business Address
Mr. JEDEDIAH S BRISCOE FNP
1060 E 100 S
SALT LAKE CITY, UT 84102-1501
Phone number: 801-350-4110
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Mailing Address
Mr. JEDEDIAH S BRISCOE FNP
1060 E 100 S
SALT LAKE CITY, UT 84102-1501
Phone number: 801-350-4110
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