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Individual

JESUS ALEJANDRO CARABALLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
295 S CHIPETA WAY STE 22, SALT LAKE CITY, UT 84108-1234
(801) 581-7766
Mailing address
3624 W 7950 S, WEST JORDAN, UT 84088-4426

Taxonomy

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

Other

Enumeration date
01/26/2026
Last updated
01/26/2026
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