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1356820609
JARED WADSWORTH
PROVO, UT
NPI
1356820609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111NS0005X Chiropractor, Sports Physician
(Licence: UT 10320622-1202)
Enumeration Date
2018-08-08
Last Update Date
2018-08-08
Business Address
JARED WADSWORTH DC, MS
2230 N UNIVERSITY PKWY #6B
PROVO, UT 84604-8460
Phone number: 801-235-9944
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Mailing Address
JARED WADSWORTH DC, MS
2230 N UNIVERSITY PKWY STE 6B
PROVO, UT 84604-1584
Phone number: 801-235-9944
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