Jacob Loose
Jacob Loose is a Student in an Organized Health Care Education/Training Program in Bountiful, Utah. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1952 Maple Hollow WayBountiful, UT 84010-1041
Phone: (801) 889-5598
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1104684141 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 12, 2024 |
| Last updated in NPPES | March 12, 2024 |
| Certification date | March 12, 2024 |
| Mailing address | 1952 Maple Hollow Way, Bountiful, UT 84010-1041 |
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