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Trevor Jolley
NPI 1528533429 · on the registry since 2018
Practice
- Address
- 1676 E 1300 S
Salt Lake City, UT 84105 - Phone
- (801) 582-1999
- Organisation at this address
- Jolley'S Corner Variety, Inc.
Jolley'S Corner Businesses LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-10-06
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