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1114038882
JACKE L CORBETT
SALT LAKE CITY, UT
NPI
1114038882
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 210462-4405)
Enumeration Date
2006-08-31
Last Update Date
2021-11-12
Business Address
Dr. JACKE L CORBETT APRN
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-2121
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Mailing Address
Dr. JACKE L CORBETT APRN
PO BOX 510721
SALT LAKE CITY, UT 84151-0721
Phone number: 801-587-6872
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