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1023237088
HEATHER A JACKSON
SALT LAKE CITY, UT
NPI
1023237088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 7127197-1205)
Enumeration Date
2007-04-25
Last Update Date
2012-04-25
Business Address
-- HEATHER A JACKSON M.D.
2295 FOOTHILL DR
SALT LAKE CITY, UT 84109-4000
Phone number: 801-486-3021
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Mailing Address
-- HEATHER A JACKSON M.D.
2295 FOOTHILL DR
SALT LAKE CITY, UT 84109-4000
Phone number: 801-486-3021
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