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Individual

JACOB MAXWELL MECHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CCM

Contact information

Practice address
13691 S BROWN FARM LN, DRAPER, UT 84020-7809
(801) 407-0047
Mailing address
13691 S BROWN FARM LN, DRAPER, UT 84020-7809
(801) 407-0047

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
UT

Other

Enumeration date
09/14/2023
Last updated
09/14/2023
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