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Individual
MR. BRIGHAM JOEL FOSSON
Active
Individual
MR. BRIGHAM JOEL FOSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8891331-4405
UT
Other
Enumeration date
05/19/2021
Last updated
07/05/2023
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