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Individual

BRITTANI LOTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5150 S WASHINGTON BLVD STE 1, SOUTH OGDEN, UT 84405-4503
(801) 337-0067
Mailing address
5150 S WASHINGTON BLVD STE 1, SOUTH OGDEN, UT 84405-4503
(801) 337-0067

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/23/2014
Last updated
01/23/2014
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