Individual
JOHN AUGUST HEGERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
780 S GUARDSMAN WAY, SALT LAKE CITY, UT 84108-1374
(801) 581-0194
Mailing address
808 E 1ST AVE, APT 3, SALT LAKE CITY, UT 84103-3991
(801) 598-7375
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/02/2012
Last updated
11/02/2012
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