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1235785452
JACOB BRUSHABER-DROCKTON
SALT LAKE CITY, UT
NPI
1235785452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2019-08-13
Last Update Date
2019-08-13
Business Address
JACOB BRUSHABER-DROCKTON
350 S 400 E
SALT LAKE CITY, UT 84111-2905
Phone number: 801-582-5534
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Mailing Address
JACOB BRUSHABER-DROCKTON
350 S 400 E
SALT LAKE CITY, UT 84111-2905
Phone number: 801-582-5534
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