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Individual

JACOB EUGENE JOACHIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
14787 S ACADEMY PKWY, HERRIMAN, UT 84096-2077
(844) 732-5849
Mailing address
2329 W PAULINE WAY, WEST JORDAN, UT 84088-7606
(801) 661-0317

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
6321506-4810
UT

Other

Enumeration date
12/01/2025
Last updated
12/01/2025
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