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1518699206
LARA CAMERON JACKSON
ST GEORGE, UT
NPI
1518699206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2022-06-30
Last Update Date
2022-06-30
Business Address
LARA CAMERON JACKSON
4617 S PIONEER RD STE 103
ST GEORGE, UT 84790-5156
Phone number: 435-767-9094
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Mailing Address
LARA CAMERON JACKSON
2421 E 390 N
SAINT GEORGE, UT 84790-1117
Phone number: 209-324-8727
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