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1952925455
JORDAN L. BORMANN
SALT LAKE CITY, UT
NPI
1952925455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: UT 12974631-1205)
Enumeration Date
2020-06-01
Last Update Date
2022-08-10
Business Address
JORDAN L. BORMANN MD
30 N 1900 E RM 4A330
SALT LAKE CITY, UT 84132-0002
Phone number: 801-581-6465
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Mailing Address
JORDAN L. BORMANN MD
30 N 1900 E RM 4A330
SALT LAKE CITY, UT 84132-0002
Phone number: 801-581-6465
Copy
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