Individual
JAMIE KINGDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
652 EAGLEPOINTE DR, NORTH SALT LAKE, UT 84054-2643
(801) 638-7785
Mailing address
652 EAGLEPOINTE DR, NORTH SALT LAKE, UT 84054-2643
(801) 638-7785
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
119740-2401
UT
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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