Individual
BRAEDEN GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1525 LINCOLN AVE, OGDEN, UT 84404-5638
(801) 621-6510
Mailing address
8 W 200 S, FARMINGTON, UT 84025-2329
(801) 682-5020
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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