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1346295177
JARED B PROBST
SALT LAKE CITY, UT
NPI
1346295177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 99-373445-1205)
Enumeration Date
2006-05-23
Last Update Date
2007-07-08
Business Address
-- JARED B PROBST MD
4624 HOLLADAY BLVD
SALT LAKE CITY, UT 84117-5206
Phone number: 801-277-2682
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Mailing Address
-- JARED B PROBST MD
4624 HOLLADAY BLVD
SALT LAKE CITY, UT 84117-5206
Phone number: 801-277-2682
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