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1962024828
JONATHAN DAVIS
SALT LAKE CITY, UT
NPI
1962024828
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-05-14
Last Update Date
2020-05-14
Business Address
JONATHAN DAVIS
2200 S STATE ST FL 2
SALT LAKE CITY, UT 84115-2724
Phone number: 801-359-8862
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Mailing Address
JONATHAN DAVIS
15067 S WINGED BLUFF LN
DRAPER, UT 84020-5719
Phone number:
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