JACK PAVEL MELUCH

SALT LAKE CITY, UT
NPI1184284671
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2019-06-17
Last Update Date2020-01-24
Business Address
JACK PAVEL MELUCH
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-3222
Mailing Address
JACK PAVEL MELUCH
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-3222
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