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1982784450
CHARLES I. BRIMHALL
PROVO, UT
NPI
1982784450
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 143588)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
-- CHARLES I. BRIMHALL D.D.S.
85 W 500 N
PROVO, UT 84601-2831
Phone number: 801-373-4878
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Mailing Address
-- CHARLES I. BRIMHALL D.D.S.
85 W 500 N
PROVO, UT 84601-2831
Phone number: 801-373-4878
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