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Organization

BRIGHTWORK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRISTOPHER TODD JULIAN MPA (PRESIDENT)
(801) 694-3205
Entity
Organization

Contact information

Practice address
1603 E STRATFORD AVE, SALT LAKE CITY, UT 84106-3669
(801) 694-3205
(801) 484-5968
Mailing address
1603 E STRATFORD AVE, SALT LAKE CITY, UT 84106-3669
(801) 694-3205
(801) 484-5968

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
11289
UT

Other

Enumeration date
12/19/2006
Last updated
08/22/2020
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