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1043314479
ROBERT L JACKSON
SALT LAKE CITY, UT
NPI
1043314479
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 1043712401)
Enumeration Date
2006-09-07
Last Update Date
2007-07-08
Business Address
MR. ROBERT L JACKSON PT
1952 EAST 7000 S 100
SALT LAKE CITY, UT 84121
Phone number: 801-942-3311
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Mailing Address
MR. ROBERT L JACKSON PT
PO BOX 711185
SALT LAKE CITY, UT 84171
Phone number: 801-942-3311
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