JEFFERY KINGSOLVER

PROVO, UT
NPI1972687606
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  3379892401)
Enumeration Date2006-10-25
Last Update Date2010-07-26
Business Address
-- JEFFERY KINGSOLVER PT
1067 N 500 W
PROVO, UT 84604-3305
Phone number: 801-226-0599
Mailing Address
-- JEFFERY KINGSOLVER PT
PO BOX 307
BOUNTIFUL, UT 84011-0307
Phone number: 801-294-6907
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