JARED AUSTIN FULGHAM

LOGAN, UT
NPI1659932275
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: UT  9451387-4102)
Enumeration Date2019-06-25
Last Update Date2019-06-25
Business Address
JARED AUSTIN FULGHAM CCC-SLP
6410 OLD MAIN HL
LOGAN, UT 84322-6410
Phone number: 435-797-1375
Mailing Address
JARED AUSTIN FULGHAM CCC-SLP
6410 OLD MAIN HL
LOGAN, UT 84322-6410
Phone number: 435-797-1375
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