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Individual

BRANDON VANCE FRANCIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.ED.

Contact information

Practice address
1328 W STERN DR, TAYLORSVILLE, UT 84123-5335
(801) 243-4991
Mailing address
1328 W STERN DR, TAYLORSVILLE, UT 84123-5335
(801) 243-4991

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
252Y00000X
Early Intervention Provider Agency
Primary
0454
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
411557
CACTUS
UT
Enumeration date
04/03/2021
Last updated
04/03/2021
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