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1083394340
JORDAN THOMAS
SALT LAKE CITY, UT
NPI
1083394340
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: UT F24-113342)
Enumeration Date
2023-07-21
Last Update Date
2024-07-10
Business Address
JORDAN THOMAS
1020 S MAIN ST STE 100
SALT LAKE CITY, UT 84101-3194
Phone number: 801-539-7000
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Mailing Address
JORDAN THOMAS
4460 S HIGHLAND DR STE 120
SALT LAKE CITY, UT 84124-3550
Phone number: 888-949-4864
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