Individual
BRANNEN WINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10920 RIVER FRONT PKWY, SOUTH JORDAN, UT 84095-3538
(801) 400-3535
Mailing address
6917 WELL WOOD RD APT 30C, MIDVALE, UT 84047-4058
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
7126638-1702
UT
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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