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1821207283
J. JERALD BOSEMAN
SALT LAKE CITY, UT
NPI
1821207283
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Other Name
JOHN JERALD BOSEMAN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: UT 140450-9922)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
-- J. JERALD BOSEMAN D.D.S.
4190 S HIGHLAND DR SUITE 106
SALT LAKE CITY, UT 84124-2600
Phone number: 801-278-0840
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Mailing Address
-- J. JERALD BOSEMAN D.D.S.
4190 HIGHLAND DR SUITE 106
SALT LAKE CITY, UT 84124-2600
Phone number: 801-278-0840
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