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1871977322
JORDAN CODY BOSEMAN
SALT LAKE CITY, UT
NPI
1871977322
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 9418741-9922)
Enumeration Date
2015-07-15
Last Update Date
2015-07-15
Business Address
Dr. JORDAN CODY BOSEMAN DDS
4190 S HIGHLAND DR
SALT LAKE CITY, UT 84124-2600
Phone number: 801-278-0840
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Mailing Address
Dr. JORDAN CODY BOSEMAN DDS
4190 S HIGHLAND DR
SALT LAKE CITY, UT 84124-2600
Phone number: 801-278-0840
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