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Individual

JONATHAN JAMES MARSHALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
151 S UNIVERSITY AVE STE 1500, PROVO, UT 84601-4427
(801) 851-7000
Mailing address
1095 S 900 E APT 205, PROVO, UT 84606-7145
(801) 356-9043

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
08/07/2012
Last updated
08/07/2012
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