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1659312213
STEVEN LAINE JACKSON
SALT LAKE CITY, UT
NPI
1659312213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: UT 116610-2501)
Enumeration Date
2006-06-08
Last Update Date
2007-07-08
Business Address
Dr. STEVEN LAINE JACKSON Ph.D.
500 FOOTHILL DR
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
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Mailing Address
Dr. STEVEN LAINE JACKSON Ph.D.
500 FOOTHILL DR
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
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