HOLLY JACKSON

SALT LAKE CITY, UT
NPI1083882278
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: UT  6683403-3101)
Enumeration Date2008-02-11
Last Update Date2008-02-11
Business Address
-- HOLLY JACKSON
2040 MURRAY HOLLADAY RD STE 205
SALT LAKE CITY, UT 84117-5197
Phone number: 801-274-0299
Mailing Address
-- HOLLY JACKSON
2422 COBBLESTONE WAY
SANDY, UT 84093-1884
Phone number:
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