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1376066480
JACKIE EINERSON
SALT LAKE CITY, UT
NPI
1376066480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: UT 10421800-4201)
Enumeration Date
2017-07-20
Last Update Date
2017-07-20
Business Address
JACKIE EINERSON MOT, OTR/L
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-587-3422
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Mailing Address
JACKIE EINERSON MOT, OTR/L
1641 E STAKER CIR
SALT LAKE CITY, UT 84121-3613
Phone number: 208-520-3216
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