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Individual

BRYANNA J LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DEM

Contact information

Practice address
453 N MAIN ST, TOOELE, UT 84074-1654
(435) 249-7292
(435) 578-0720
Mailing address
266 DANIEL DR, TOOELE, UT 84074-9674
(385) 225-0074
(435) 578-0720

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary

Other

Enumeration date
02/01/2020
Last updated
02/01/2020
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