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Individual

DR. GARYN K. GULBRANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
292 S 1470 E, ST GEORGE, UT 84790-1763
(435) 251-5901
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11755041-2501
UT
103T00000X
Psychologist
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1588962047
UT
Enumeration date
03/08/2011
Last updated
11/21/2024
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