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1558440081
ELAINE S. JACKSON
SALT LAKE CITY, UT
NPI
1558440081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC0400X Registered Nurse, Case Management
(Licence: UT 335751-3102)
Enumeration Date
2006-11-03
Last Update Date
2007-07-08
Business Address
Ms. ELAINE S. JACKSON RN
4460 HIGHLAND DR STE. #300
SALT LAKE CITY, UT 84124-3543
Phone number: 801-273-6366
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Mailing Address
Ms. ELAINE S. JACKSON RN
10542 VIOLET DR
SANDY, UT 84094-4718
Phone number: 801-572-6064
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