CARRIE MICHELLE JACKMAN

PROVO, UT
NPI1760602460
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  6305663-1206)
Enumeration Date2007-04-26
Last Update Date2007-07-08
Business Address
Ms. CARRIE MICHELLE JACKMAN PA-C
5314 N 250 W SUITE 220
PROVO, UT 84604-5691
Phone number: 801-225-8484
Mailing Address
Ms. CARRIE MICHELLE JACKMAN PA-C
962 S 830 E
OREM, UT 84097-4703
Phone number: 801-836-5873
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