JORDAN EDWIN TAZOI

SALT LAKE CITY, UT
NPI1154859437
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  10387416-2401)
Enumeration Date2017-05-31
Last Update Date2021-11-23
Business Address
JORDAN EDWIN TAZOI DPT
590 S WAKARA WAY
SALT LAKE CITY, UT 84108-1200
Phone number: 801-587-7005
Mailing Address
JORDAN EDWIN TAZOI DPT
1869 S 500 E APT B
SLC, UT 84105-2931
Phone number: 801-694-5835
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