JACOB LOOSE

BOUNTIFUL, UT
NPI1104684141
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-12
Last Update Date2024-03-12
Business Address
JACOB LOOSE
1952 MAPLE HOLLOW WAY
BOUNTIFUL, UT 84010-1041
Phone number: 801-889-5598
Mailing Address
JACOB LOOSE
1952 MAPLE HOLLOW WAY
BOUNTIFUL, UT 84010-1041
Phone number: 801-889-5598
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