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Organization
JLI LC
Active
Organization
JLI LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON LAME (OWNER)
(801) 990-1990
Entity
Organization
Contact information
Practice address
11075 S STATE ST, BLDG. 35, SANDY, UT 84070-5164
(801) 990-1990
Mailing address
11075 S STATE ST, BLDG. 35, SANDY, UT 84070-5164
(801) 990-1990
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2780612401
UT
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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