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1356421259
GILBERT MARC JACKSON
SALT LAKE CITY, UT
NPI
1356421259
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine
(Licence: UT 185118-1205)
Enumeration Date
2006-10-16
Last Update Date
2017-10-20
Business Address
GILBERT MARC JACKSON MD
30 N 1900 E # 2B-200
SALT LAKE CITY, UT 84132-0002
Phone number: 801-581-7092
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Mailing Address
GILBERT MARC JACKSON MD
PO BOX 5889
SALT LAKE CITY, UT 84158-0859
Phone number: 801-585-5172
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