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1013433507
JERRY LEE BOHNET
SALT LAKE CITY, UT
NPI
1013433507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-08-16
Last Update Date
2022-07-21
Business Address
Mr. JERRY LEE BOHNET
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-793-8048
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Mailing Address
Mr. JERRY LEE BOHNET
1450 S WEST TEMPLE
SOUTH SALT LAKE, UT 84115-5203
Phone number: 801-793-8048
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