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Individual

MR. JERRY LEE BOHNET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 793-8048
Mailing address
1450 S WEST TEMPLE, SOUTH SALT LAKE, UT 84115-5203
(801) 793-8048

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
08/16/2017
Last updated
07/21/2022
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