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1255985859
IRELINDE MACKENZIE JACKSON
WEST VALLEY CITY, UT
NPI
1255985859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-07-31
Last Update Date
2019-07-31
Business Address
IRELINDE MACKENZIE JACKSON
3280 W 3500 S STE E
WEST VALLEY CITY, UT 84119-2668
Phone number: 801-979-1351
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Mailing Address
IRELINDE MACKENZIE JACKSON
3280 W 3500 S STE E
WEST VALLEY CITY, UT 84119-2668
Phone number: 801-979-1351
Copy
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