JONATHAN DEAN FLAKE

SPRINGVILLE, UT
NPI1376301895
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/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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