ALICIA BRUNNER
Physician Assistant in Salt Lake City, UT

License number
Utah PA156580
Category
Nursing
Type
Medical
License number
Utah 7232172-1206
Category
Nursing
Type
Physician Assistant
Address
Address
8 Th Ave & C St, Salt Lake City, UT 84143
Phone
(801) 408-1100
National Provider ID: 1689814352
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Alicia Brunner, age 41
1578 E 1220 N, Logan, UT 84341
(435) 753-2375

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