Individual
JUSTUS COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
836 N 1375 W, PROVO, UT 84604-3049
(801) 375-2523
Mailing address
501 W 2600 S STE 200, BOUNTIFUL, UT 84010-7785
(801) 815-3443
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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