Individual
MR. JON T. POORE'
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
B.S.R.N.
Contact information
Practice address
500 SOUTH, 530 EAST, SALT LAKE CITY, UT 84102
(801) 538-2057
(801) 596-2515
Mailing address
350 S 200 W, #C507, SALT LAKE CITY, UT 84101-1828
(801) 580-7624
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
3306403102
UT
Other
Enumeration date
01/04/2006
Last updated
07/08/2007
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