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1962163303
JACOB HIGGINBOTHAM
TAYLORSVILLE, UT
NPI
1962163303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-01-07
Last Update Date
2022-01-07
Business Address
JACOB HIGGINBOTHAM
6013 S REDWOOD RD
TAYLORSVILLE, UT 84123-5220
Phone number: 801-255-5131
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Mailing Address
JACOB HIGGINBOTHAM
6013 S REDWOOD RD
TAYLORSVILLE, UT 84123-5220
Phone number: 801-255-5131
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