JEDEDIAH DOUGLAS KOWALSKI

SOUTH JORDAN, UT
NPI1366963928
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  7964951-4405)
Enumeration Date2017-07-03
Last Update Date2021-11-17
Business Address
Mr. JEDEDIAH DOUGLAS KOWALSKI APRN
5126 W DAYBREAK PKWY
SOUTH JORDAN, UT 84009-5994
Phone number: 801-656-7647
Mailing Address
Mr. JEDEDIAH DOUGLAS KOWALSKI APRN
856 W RONTANO CT
MIDVALE, UT 84047-1605
Phone number:
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