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1316561848
JACOB DANIEL EARL
ST GEORGE, UT
NPI
1316561848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: UT 11450404-4201)
Enumeration Date
2020-06-01
Last Update Date
2023-10-06
Business Address
JACOB DANIEL EARL OTR/L
652 S MEDICAL CENTER DR
ST GEORGE, UT 84790-7049
Phone number: 435-251-2250
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Mailing Address
JACOB DANIEL EARL OTR/L
PO BOX 30180
SALT LAKE CITY, UT 84130-0180
Phone number:
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