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1245921956
JACOB KENISON
HOLLADAY, UT
NPI
1245921956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
Enumeration Date
2023-05-15
Last Update Date
2023-05-15
Business Address
JACOB KENISON
2046 E MURRAY HOLLADAY RD STE 101
HOLLADAY, UT 84117-5173
Phone number: 801-980-2566
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Mailing Address
JACOB KENISON
5111 S 4620 W
KEARNS, UT 84118-5701
Phone number: 917-562-6141
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