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Individual

BRET N LESUEUR

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
5 E 400 N, SPRINGVILLE, UT 84663-1347
(801) 489-8464
(801) 489-3678
Mailing address
325 W CENTER ST, SPANISH FORK, UT 84660-2060
(801) 798-7301
(801) 798-8513

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
372922-1204
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D2960
UT
Enumeration date
05/24/2006
Last updated
07/08/2007
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