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1528816808
JEREMY KEVIN ENSIGN
SOUTH JORDAN, UT
NPI
1528816808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 13960851-2401)
Enumeration Date
2024-05-10
Last Update Date
2024-05-10
Business Address
JEREMY KEVIN ENSIGN
1628 W 11010 S STE 101
SOUTH JORDAN, UT 84095-1278
Phone number: 801-613-1890
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Mailing Address
JEREMY KEVIN ENSIGN
1628 W 11010 S STE 101
SOUTH JORDAN, UT 84095-1278
Phone number:
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