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1467688564
PAUL S. JACKSON
SALT LAKE CITY, UT
NPI
1467688564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2009-06-03
Last Update Date
2009-06-03
Business Address
Dr. PAUL S. JACKSON D.M.D.
26 SOUTH 200 EAST SUITE 5900
SALT LAKE CITY, UT 84112
Phone number: 801-585-6485
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Mailing Address
Dr. PAUL S. JACKSON D.M.D.
4237 CUMBERLAND RD
HOLLADAY, UT 84124-2737
Phone number: 801-671-6228
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