JONATHAN DEAN FLAKE

SPRINGVILLE, UT
NPI1376301895
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: UT  11269438-4405)
Enumeration Date2024-03-08
Last Update Date2024-03-08
Business Address
MR. JONATHAN DEAN FLAKE
980 W 1275 S
SPRINGVILLE, UT 84663-5058
Phone number: 801-380-2538
Mailing Address
MR. JONATHAN DEAN FLAKE
980 W 1275 S
SPRINGVILLE, UT 84663-5058
Phone number:
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