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1295199628
JACOB DANIEL CHRISTIANSEN
SALT LAKE CITY, UT
NPI
1295199628
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: UT 10483143-1204)
Enumeration Date
2016-04-12
Last Update Date
2023-07-13
Business Address
JACOB DANIEL CHRISTIANSEN D.O.
5171 S COTTONWOOD ST STE 810
SALT LAKE CITY, UT 84107-5705
Phone number: 801-507-9800
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Mailing Address
JACOB DANIEL CHRISTIANSEN D.O.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-507-9800
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