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THOMAS ADAM BRAITHWAITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7546
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
5533931-3102
UT

Other

Enumeration date
03/19/2012
Last updated
03/19/2012
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