NATHAN JEREMY BLACK

PARK CITY, UT
NPI1316434913
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: UT  9242074-1202)
Enumeration Date2018-04-18
Last Update Date2018-04-18
Business Address
NATHAN JEREMY BLACK DC
1901 PROSPECTOR AVE
PARK CITY, UT 84060-7207
Phone number: 435-649-1542
Mailing Address
NATHAN JEREMY BLACK DC
PO BOX 680638
PARK CITY, UT 84068-0638
Phone number: 435-649-1542
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