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Brent D. Mains
Student in an Organized Health Care Education/Training Program in Alpine, Utah
NPI 1750079547

Brent D. Mains is a Student in an Organized Health Care Education/Training Program based in Alpine, UT. Brent D. Mains practices in Alpine, UT. The NPI Number for Brent D. Mains is 1750079547 and holds a License No. (Utah).

The current practice location address for Brent D. Mains is 833 E Coventry Ln, Alpine, UT and can be reached out via phone at 385-447-7929.

Location: 833 E Coventry Ln, Alpine, UT, 84004-1240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750079547
Provider Name
Brent D. Mains
Credential
Provider Entity Type
Individual
Gender
Male
Address
833 E Coventry Ln, Alpine, UT, 84004-1240
Phone Number
385-447-7929
Fax Number
Provider Enumeration Date
04/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
833 E Coventry Ln
City
Alpine
State
Utah
Zip
84004-1240
Phone Number
385-447-7929
Fax Number
person
Provider Business Mailing Address Details
Address
833 E Coventry Ln
City
Alpine
State
Utah
Zip
84004-1240
Phone Number
385-447-7929
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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