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1255790176
JARED FULLMER
WEST JORDAN, UT
NPI
1255790176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 9634569-2401)
Enumeration Date
2016-02-19
Last Update Date
2016-02-19
Business Address
-- JARED FULLMER DPT
1577 W 7000 S #100
WEST JORDAN, UT 84084-7492
Phone number: 801-566-6301
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Mailing Address
-- JARED FULLMER DPT
9720 S 1300 E #W200
SANDY, UT 84094-3712
Phone number:
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