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1972687606
JEFFERY KINGSOLVER
PROVO, UT
NPI
1972687606
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 3379892401)
Enumeration Date
2006-10-25
Last Update Date
2010-07-26
Business Address
-- JEFFERY KINGSOLVER PT
1067 N 500 W
PROVO, UT 84604-3305
Phone number: 801-226-0599
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Mailing Address
-- JEFFERY KINGSOLVER PT
PO BOX 307
BOUNTIFUL, UT 84011-0307
Phone number: 801-294-6907
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