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Jordan Johnson

NPI 1740735620 · on the registry since 2016 · sole proprietor

Practice

Address
137 E 3rd Ave Apt 14
Salt Lake City, UT 84103
Phone
(928) 533-8616

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-08-19

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