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1417915505
DEBRA ANN JACOBSEN
SALT LAKE CITY, UT
NPI
1417915505
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Former Name
DEBRA A JOHANNTOBERNS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: UT 1997843902)
Enumeration Date
2006-05-01
Last Update Date
2007-07-08
Business Address
Ms. DEBRA ANN JACOBSEN MS
3191 S VALLEY STREET STE 210
SALT LAKE CITY, UT 84109-4218
Phone number: 801-565-2040
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Mailing Address
Ms. DEBRA ANN JACOBSEN MS
3191 S VALLEY STREET STE 210
SALT LAKE CITY, UT 84109-4218
Phone number: 801-565-2040
Copy
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