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1679601264
GARY Q JORGENSEN
SALT LAKE CITY, UT
NPI
1679601264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: UT 103687-2501)
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
Dr. GARY Q JORGENSEN PH.D.
501 CHIPETA WAY
SALT LAKE CITY, UT 84108-1222
Phone number: 801-598-4187
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Mailing Address
Dr. GARY Q JORGENSEN PH.D.
PO BOX 901535
SANDY, UT 84090-1535
Phone number: 801-598-4187
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