Individual
BRENT JAMES SEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5934 S 8400 W, KEARNS, UT 84118
(801) 967-6325
Mailing address
5934 S 4800 W, KEARNS, UT 84118-6061
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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