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1366057770
JACQUALINE LONG
SALT LAKE CITY, UT
NPI
1366057770
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-09-11
Last Update Date
2020-09-11
Business Address
JACQUALINE LONG
344 E 100 S STE 301
SALT LAKE CITY, UT 84111-1727
Phone number: 801-428-3487
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Mailing Address
JACQUALINE LONG
344 E 100 S STE 301
SALT LAKE CITY, UT 84111-1727
Phone number: 801-428-3487
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