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Individual

JONATHAN R CLEMENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
267 WILLOW REED, LEHI, UT 84043
(801) 318-4470
Mailing address
267 WILLOW REED, LEHI, UT 84043
(801) 318-4470

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10623242-4201
UT

Other

Enumeration date
05/18/2021
Last updated
05/18/2021
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