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Individual

JOSHUA VIJAYANAND JABEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
LDS HOSPITAL, 8TH AVE & C ST, SALT LAKE CITY, UT 84143-0001
(801) 408-5060
Mailing address
3127 S 500 E, SALT LAKE CITY, UT 84106-1238
(909) 255-6840

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301510666
MI
2084P0800X
Psychiatry Physician
Primary
8134342-1205
UT

Other

Enumeration date
04/21/2010
Last updated
01/02/2024
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