Individual
MR. BRANDON KEENAN REASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
78 W 1850 N, LAYTON, UT 84041-7818
(801) 425-3440
Mailing address
78 W 1850 N, LAYTON, UT 84041-7818
(801) 425-3440
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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