BRANNEN WINN

SOUTH JORDAN, UT
NPI1962703264
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: UT  7126638-1702)
Enumeration Date2010-11-03
Last Update Date2010-11-03
Business Address
-- BRANNEN WINN
10920 RIVER FRONT PKWY
SOUTH JORDAN, UT 84095-3538
Phone number: 801-400-3535
Mailing Address
-- BRANNEN WINN
6917 WELL WOOD RD APT 30C
MIDVALE, UT 84047-4058
Phone number:
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