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1689409112
JARED WAYNE SUMMERVILLE
ST GEORGE, UT
NPI
1689409112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: UT 13113993-4701)
Enumeration Date
2024-09-04
Last Update Date
2024-11-24
Business Address
JARED WAYNE SUMMERVILLE LMT
4617 S PIONEER RD STE 101E
ST GEORGE, UT 84790-5156
Phone number: 816-225-6522
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Mailing Address
JARED WAYNE SUMMERVILLE LMT
3276 E 3100 S
SAINT GEORGE, UT 84790-1373
Phone number: 816-225-6522
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