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Individual

JASON MICHAEL PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
201 PRESIDENTS CIR, SALT LAKE CITY, UT 84112-9049
(801) 675-1514
Mailing address
3787 VAN BUREN AVE, OGDEN, UT 84403-2030
(801) 675-1514

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
06/26/2024
Last updated
06/26/2024
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