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Individual

ISSAC JARAMILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5460 S CAPITOL REEF DR, TAYLORSVILLE, UT 84129-1707
(801) 414-0596
Mailing address
6973 S LEXINGTON DR, WEST JORDAN, UT 84084-2347
(801) 414-0596

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/07/2025
Last updated
03/07/2025
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