KRISTY ANN JACK

SOUTH SALT LAKE, UT
NPI1750020350
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: UT  9438741-4102)
Enumeration Date2022-06-01
Last Update Date2022-06-01
Business Address
KRISTY ANN JACK CCC
2500 S STATE ST
SOUTH SALT LAKE, UT 84115-3164
Phone number: 385-646-0545
Mailing Address
KRISTY ANN JACK CCC
4332 W GOLF CIR
SOUTH JORDAN, UT 84009-9780
Phone number: 801-243-8094
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