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Individual

PATRICIA MARIE BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
TRS, CTRS

Contact information

Practice address
50 N MEDICAL DR, SLC, UT 84132-0001
(801) 581-2733
Mailing address
50 N MEDICAL DR, SLC, UT 84132-0001
(801) 581-2733

Taxonomy

Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00344811
UPIN
UT
Enumeration date
05/19/2010
Last updated
05/19/2010
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