Individual
JOSEPH GAMBLE BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Mailing address
28 E 300 N APT 8, SALT LAKE CITY, UT 84103-4648
(801) 322-4257
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
UT
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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