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1689107542
JILLYN JACKSON
SALT LAKE CITY, UT
NPI
1689107542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: UT 284914-2402)
Enumeration Date
2017-04-07
Last Update Date
2017-04-07
Business Address
-- JILLYN JACKSON PTA
1256 E 1300 S
SALT LAKE CITY, UT 84105-1949
Phone number: 801-641-2494
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Mailing Address
-- JILLYN JACKSON PTA
1256 E 1300 S
SALT LAKE CITY, UT 84105-1949
Phone number: 801-641-2494
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