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1649973850
JOHN LAWRENCE JACKSON
SALT LAKE CITY, UT
NPI
1649973850
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: UT 12900024-2501)
Enumeration Date
2023-03-24
Last Update Date
2023-03-24
Business Address
Dr. JOHN LAWRENCE JACKSON PhD
3056 S 700 E APT C
SALT LAKE CITY, UT 84106-1682
Phone number: 706-936-6422
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Mailing Address
Dr. JOHN LAWRENCE JACKSON PhD
3056 S 700 E APT C
SALT LAKE CITY, UT 84106-1682
Phone number: 706-936-6422
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