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1265156806
JEREMY EARL NORDFELT
SALT LAKE CITY, UT
NPI
1265156806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 11795552-2401)
Enumeration Date
2022-09-28
Last Update Date
2022-09-28
Business Address
JEREMY EARL NORDFELT DPT
500 FOOTHILL DR
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
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Mailing Address
JEREMY EARL NORDFELT DPT
1148 N 350 W
LAYTON, UT 84041-4829
Phone number: 801-879-2813
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