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1043516925
JACK KETTERING
LAYTON, UT
NPI
1043516925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-02-09
Last Update Date
2013-10-14
Business Address
-- JACK KETTERING MA
930 W HILL FIELD RD A
LAYTON, UT 84041-4662
Phone number: 801-366-3040
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Mailing Address
-- JACK KETTERING MA
899 CARTER DR
RIVERDALE, UT 84405-2630
Phone number: 480-543-0038
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