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1174545503
KAREN E JACKSON
SANDY, UT
NPI
1174545503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 2124864405)
Enumeration Date
2006-07-24
Last Update Date
2007-10-20
Business Address
-- KAREN E JACKSON PNP
9720 S 1300 E #100
SANDY, UT 84094-3712
Phone number: 801-571-8550
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Mailing Address
-- KAREN E JACKSON PNP
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-571-8550
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