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Individual

JACOB MATTHEW COWLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1360 E 9400 S, SANDY, UT 84093-2960
(810) 571-1010
(801) 576-1372
Mailing address
80 M ST APT 3, SALT LAKE CITY, UT 84103-3878
(816) 492-4932

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
UT010548501054
UT

Other

Enumeration date
05/08/2020
Last updated
05/08/2020
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