Jake Paxman

NPI #1366978827 in Moroni, Utah

Provider Information

NPI Number: 1366978827
Entity Type: Individual
Name: Jake Paxman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: May 3, 2017
Last Updated: May 3, 2017

Practice Location

Address: 21360 N 1450 E
City: Moroni
State: Utah
ZIP Code: 84646-0461
Phone: (435) 445-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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