Individual
PAUL JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
6822 EAST / 1000 SOUTH, FORT DUCHESNE, UT 84026
(435) 725-6858
(435) 722-9137
Mailing address
PO BOX 160, FORT DUCHESNE, UT 84026-0160
(435) 725-6858
(435) 722-9137
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5172605
FL
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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