JACKIE LARSEN

SPRINGVILLE, UT
NPI1659050177
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: UT  115154024102)
Enumeration Date2023-07-12
Last Update Date2023-07-12
Business Address
JACKIE LARSEN
1211 S 1530 W
SPRINGVILLE, UT 84663-5074
Phone number: 562-841-2877
Mailing Address
JACKIE LARSEN
1211 S 1530 W
SPRINGVILLE, UT 84663-5074
Phone number: 562-841-2877
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