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1285172841
ANDREW JACKSON
PRICE, UT
NPI
1285172841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
282NR1301X General Acute Care Hospital, Rural
(Licence: UT 10241270-4201)
Enumeration Date
2017-02-03
Last Update Date
2017-02-03
Business Address
Mr. ANDREW JACKSON MOTR/L
284 N HOSPITAL DR
PRICE, UT 84501-4233
Phone number: 435-636-4841
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Mailing Address
Mr. ANDREW JACKSON MOTR/L
1677 W 2100 N
HELPER, UT 84526-2458
Phone number: 435-650-7128
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