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1053885285
REBECCA WHITAKER JACKSON
SALT LAKE CITY, UT
NPI
1053885285
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: UT 19-75058)
Enumeration Date
2019-01-22
Last Update Date
2019-01-22
Business Address
REBECCA WHITAKER JACKSON
515 S 700 E STE 2A
SALT LAKE CITY, UT 84102-2855
Phone number: 800-434-8923
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Mailing Address
REBECCA WHITAKER JACKSON
972 N 370 E
AMERICAN FORK, UT 84003-1347
Phone number: 385-482-4430
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