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1376288043
JACOB DARIUS GOSSNER
LOGAN, UT
NPI
1376288043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: UT 12745274-3904)
Enumeration Date
2022-04-28
Last Update Date
2022-04-28
Business Address
JACOB DARIUS GOSSNER LAMFT
175 W 1400 N STE A
LOGAN, UT 84341-6816
Phone number: 435-752-5302
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Mailing Address
JACOB DARIUS GOSSNER LAMFT
1475 N 420 W APT 101
LOGAN, UT 84341-4068
Phone number: 801-564-4024
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