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1295275782
JESSE JESSUP
SALT LAKE CITY, UT
NPI
1295275782
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 7784769-2401)
Enumeration Date
2017-03-02
Last Update Date
2017-03-02
Business Address
-- JESSE JESSUP
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-662-4980
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Mailing Address
-- JESSE JESSUP
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
Phone number:
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