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Jacob Loose
Student in an Organized Health Care Education/Training Program in Bountiful, Utah
NPI 1104684141

Jacob Loose is a Student in an Organized Health Care Education/Training Program based in Bountiful, UT. Jacob Loose practices in Bountiful, UT. The NPI Number for Jacob Loose is 1104684141 and holds a License No. (Utah).

The current practice location address for Jacob Loose is 1952 Maple Hollow Way, Bountiful, UT and can be reached out via phone at 801-889-5598.

Location: 1952 Maple Hollow Way, Bountiful, UT, 84010-1041
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104684141
Provider Name
Jacob Loose
Credential
Provider Entity Type
Individual
Gender
Male
Address
1952 Maple Hollow Way, Bountiful, UT, 84010-1041
Phone Number
801-889-5598
Fax Number
Provider Enumeration Date
03/12/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1952 Maple Hollow Way
City
Bountiful
State
Utah
Zip
84010-1041
Phone Number
801-889-5598
Fax Number
person
Provider Business Mailing Address Details
Address
1952 Maple Hollow Way
City
Bountiful
State
Utah
Zip
84010-1041
Phone Number
801-889-5598
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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