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1700401767
JORDAN CLARK ESTEBAN
SALT LAKE CITY, UT
NPI
1700401767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: UT 11788173-3506)
Enumeration Date
2020-06-15
Last Update Date
2020-06-15
Business Address
JORDAN CLARK ESTEBAN
440 S 500 E
SALT LAKE CITY, UT 84102-2705
Phone number: 801-359-8862
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Mailing Address
JORDAN CLARK ESTEBAN
704 E OSBORNE ESTATE CIR
DRAPER, UT 84020-8259
Phone number: 801-669-7908
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