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1558135988
JACOB PETERSON POWELL
OREM, UT
NPI
1558135988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 12699294-2401)
Enumeration Date
2023-11-07
Last Update Date
2023-11-07
Business Address
JACOB PETERSON POWELL DPT
475 HOSPITAL DR
OREM, UT 84057
Phone number: 801-221-9930
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Mailing Address
JACOB PETERSON POWELL DPT
674 W 640 N
OREM, UT 84057-3665
Phone number:
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