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Individual

MR. BRENT EDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NBC-HIS

Contact information

Practice address
45 E 200 N, # 105, LOGAN, UT 84321-4459
(435) 750-5577
(435) 753-7284
Mailing address
45 E 200 N, # 105, LOGAN, UT 84321-4459
(435) 750-5577
(435) 753-7284

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
30720824601
UT

Other

Enumeration date
05/20/2009
Last updated
05/20/2009
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