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1255434296
DAVID B JACK
DRAPER, UT
NPI
1255434296
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QB0002X Family Medicine, Bariatric Medicine
(Licence: UT 168941-1205)
Enumeration Date
2006-09-06
Last Update Date
2022-02-01
Business Address
Mr. DAVID B JACK MD
74 E KIMBALLS LN STE 260
DRAPER, UT 84020-5009
Phone number: 801-545-8480
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Mailing Address
Mr. DAVID B JACK MD
PO BOX 198560
ATLANTA, GA 30384-1721
Phone number:
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