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1861789356
JESSE CHARLES WASHBURN
PROVIDENCE, UT
NPI
1861789356
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 9021346-1204)
Enumeration Date
2011-07-05
Last Update Date
2023-06-06
Business Address
JESSE CHARLES WASHBURN DO
190 S HIGHWAY 165
PROVIDENCE, UT 84332-9512
Phone number: 435-755-3300
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Mailing Address
JESSE CHARLES WASHBURN DO
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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