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1356057863
JACOB MOMBERGER
SALT LAKE CITY, UT
NPI
1356057863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: UT 390200000X)
Enumeration Date
2023-01-27
Last Update Date
2023-01-27
Business Address
JACOB MOMBERGER
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112-5888
Phone number: 801-581-7498
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Mailing Address
JACOB MOMBERGER
3704 S 2140 E
SALT LAKE CITY, UT 84109-3328
Phone number: 801-870-1327
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