Jesse Graydon Robinson

Individual provider Substance Abuse Rehabilitation Facility · NPI 1396986162

Jesse Graydon Robinson is a Substance Abuse Rehabilitation Facility in Enoch, Utah. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since: 2009

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Practice location Address checks out

4747 N Oregon Trl
Enoch, UT 84721-7443
Phone: (435) 586-2592

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Specialties & licences

Substance Abuse Rehabilitation Facility (primary)	Taxonomy 324500000X

Record details

NPI number	1396986162
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	March 9, 2009
Last updated in NPPES	March 9, 2009
Mailing address	4747 N Oregon Trl, Enoch, UT 84721-7443