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1679743009
BRUCE KENNETH JACOBSON
SALT LAKE CITY, UT
NPI
1679743009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: UT 450510082)
Enumeration Date
2008-02-29
Last Update Date
2018-03-14
Business Address
BRUCE KENNETH JACOBSON Ph.D., P.C.
4190 HIGHLAND DR SUITE 211
SALT LAKE CITY, UT 84124-2600
Phone number: 801-272-0614
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Mailing Address
BRUCE KENNETH JACOBSON Ph.D., P.C.
4190 HIGHLAND DR SUITE 211
SALT LAKE CITY, UT 84124-2600
Phone number: 801-272-0614
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