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1356969307
JACOB MARLAN HASLAM
OGDEN, UT
NPI
1356969307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 11747165-9922)
Enumeration Date
2020-07-07
Last Update Date
2020-07-07
Business Address
Dr. JACOB MARLAN HASLAM DDS
448 E 5350 S STE C
OGDEN, UT 84405-5415
Phone number: 801-479-1700
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Mailing Address
Dr. JACOB MARLAN HASLAM DDS
448 E 5350 S
OGDEN, UT 84405-5414
Phone number: 801-479-1700
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