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Individual

JENELLE KLINGLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1153 E 3900 S, SALT LAKE CITY, UT 84124-1201
(801) 262-6331
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171-1185

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3637414701
STATE LICENSE
UT
Enumeration date
01/03/2020
Last updated
01/03/2020
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