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1528817897
JASON COAKLEY
LEHI, UT
NPI
1528817897
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: UT 13909840-9926)
Enumeration Date
2024-05-17
Last Update Date
2024-05-17
Business Address
JASON COAKLEY DMD
2183 W MAIN ST STE A301
LEHI, UT 84043-6763
Phone number: 801-610-7200
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Mailing Address
JASON COAKLEY DMD
11906 S ANTELOPE FLAT WAY
HERRIMAN, UT 84096-2701
Phone number: 801-455-0320
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