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1174222186
JORDAN KEVIN JOHNSON
SALT LAKE CITY, UT
NPI
1174222186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-02-28
Last Update Date
2023-02-28
Business Address
JORDAN KEVIN JOHNSON
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112-5888
Phone number: 801-836-3226
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Mailing Address
JORDAN KEVIN JOHNSON
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112-5888
Phone number: 801-836-3226
Copy
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