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1134723836
STEPHANIE JACKSON
BOUNTIFUL, UT
NPI
1134723836
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 11791605-2401)
Enumeration Date
2020-11-24
Last Update Date
2020-11-24
Business Address
Mrs. STEPHANIE JACKSON D.P.T.
1551 RENAISSANCE TOWNE DR STE 350
BOUNTIFUL, UT 84010-7674
Phone number: 801-295-3553
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Mailing Address
Mrs. STEPHANIE JACKSON D.P.T.
1551 RENAISSANCE TOWNE DR STE 350
BOUNTIFUL, UT 84010-7674
Phone number: 801-295-3553
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