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Individual

TYSON BRETT BREWER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPSS

Contact information

Practice address
3784 W VALLEY VIEW DR, CEDAR HILLS, UT 84062-8085
(801) 407-9994
Mailing address
1515 W 110 N, PLEASANT GROVE, UT 84062-3555
(801) 404-7145

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
2071
UT

Other

Enumeration date
04/30/2024
Last updated
04/30/2024
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