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Mr. Jamison Lane Creekmore
Student in an Organized Health Care Education/Training Program in Grantsville, Utah
NPI 1871294215

Jamison Lane Creekmore is a Student in an Organized Health Care Education/Training Program based in Grantsville, UT. Jamison Lane Creekmore practices in Grantsville, UT. The NPI Number for Jamison Lane Creekmore is 1871294215 and holds a License No. (Utah).

The current practice location address for Jamison Lane Creekmore is 36 W Plum St, Grantsville, UT and can be reached out via phone at 435-494-8680.

Location: 36 W Plum St, Grantsville, UT, 84029-9652
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871294215
Provider Name
Jamison Lane Creekmore
Credential
Provider Entity Type
Individual
Gender
Male
Address
36 W Plum St, Grantsville, UT, 84029-9652
Phone Number
435-494-8680
Fax Number
Provider Enumeration Date
03/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
36 W Plum St
City
Grantsville
State
Utah
Zip
84029-9652
Phone Number
435-494-8680
Fax Number
person
Provider Business Mailing Address Details
Address
36 W Plum St
City
Grantsville
State
Utah
Zip
84029-9652
Phone Number
435-494-8680
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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