JACOB WHETZEL

SALT LAKE CITY, UT
NPI1548655368
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  10105799-1205)
Enumeration Date2015-03-30
Last Update Date2017-09-18
Business Address
-- JACOB WHETZEL
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1260
Phone number: 801-587-3411
Mailing Address
-- JACOB WHETZEL
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1260
Phone number: 801-587-3411
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