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Jon Blackham
NPI 1275854150 · on the registry since 2010 · sole proprietor
Practice
- Address
- 195 E 840 S
Orem, UT 84058 - Phone
- (801) 226-7696
- Fax
- (801) 225-7053
- Organisation at this address
- Utah Valley Youth Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 27
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Sex
- Male
- Record last updated
- 2010-06-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah