Individual
GREGORY JIMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1370 S WEST TEMPLE, SALT LAKE CITY, UT 84115-5218
(801) 683-4323
Mailing address
2349 W 4220 S, TAYLORSVILLE, UT 84129-5339
(385) 215-0048
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/29/2016
Last updated
09/29/2016
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