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1144618802
JACK PUTNAM
ST GEORGE, UT
NPI
1144618802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2015-01-05
Last Update Date
2015-01-05
Business Address
-- JACK PUTNAM
359 E RIVERSIDE DR
ST GEORGE, UT 84790-4924
Phone number: 801-255-5131
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Mailing Address
-- JACK PUTNAM
359 E RIVERSIDE DR
ST GEORGE, UT 84790-4924
Phone number: 801-255-5131
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