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1376301895
JONATHAN DEAN FLAKE
SPRINGVILLE, UT
NPI
1376301895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT 11269438-4405)
Enumeration Date
2024-03-08
Last Update Date
2024-03-08
Business Address
Mr. JONATHAN DEAN FLAKE
980 W 1275 S
SPRINGVILLE, UT 84663-5058
Phone number: 801-380-2538
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Mailing Address
Mr. JONATHAN DEAN FLAKE
980 W 1275 S
SPRINGVILLE, UT 84663-5058
Phone number:
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