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Individual

BRETT POTTER BARRETT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
X
Credential
CPSS

Contact information

Practice address
140 W 2100 S STE 140, SALT LAKE CITY, UT 84115-1852
(801) 896-7930
Mailing address
140 W 2100 S STE 140, SALT LAKE CITY, UT 84115-1852
(801) 896-7930

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
2705
UT

Other

Enumeration date
07/23/2024
Last updated
07/23/2024
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