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Individual

JANSEN C. JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
250 E 200 S RM 1202, SALT LAKE CITY, UT 84111-2472
(801) 581-3841
Mailing address
250 E 200 S RM 1202, SALT LAKE CITY, UT 84111-2472
(801) 581-3841

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
12406836-1204
UT
208D00000X
General Practice Physician
0102204300
VA

Other

Enumeration date
06/27/2014
Last updated
09/20/2021
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