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Individual

BRANDI COONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12338 S ANDANTE DR, HERRIMAN, UT 84096-1834
(801) 915-0791
Mailing address
12338 S ANDANTE DR, HERRIMAN, UT 84096-1834
(801) 915-0791

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
9257489
UT
363LF0000X
Family Nurse Practitioner
Primary
92574894405
UT

Other

Enumeration date
05/29/2023
Last updated
05/29/2023
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