JEREMIAH RUSSELL CLARK

SALT LAKE CITY, UT
NPI1568768950
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2011-02-01
Last Update Date2011-02-01
Business Address
-- JEREMIAH RUSSELL CLARK
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7150
Mailing Address
-- JEREMIAH RUSSELL CLARK
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7150