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Individual

JEFFREY KREISCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(801) 536-6523
Mailing address
3635 S 900 E APT 44, MILLCREEK, UT 84106-1961
(541) 226-7228

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/21/2018
Last updated
05/21/2018
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