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1275926149
CALEB R JACKSON
SALT LAKE CITY, UT
NPI
1275926149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 347183-4405)
Enumeration Date
2015-03-16
Last Update Date
2023-12-13
Business Address
CALEB R JACKSON FNP
1220 E 3900 S STE 4E
SALT LAKE CITY, UT 84124-1343
Phone number: 801-261-8507
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Mailing Address
CALEB R JACKSON FNP
5171 S COTTONWOOD ST STE 950
MURRAY, UT 84107-5713
Phone number: 801-507-9542
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