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1801653068
JADE M IBARRA
SOUTH SALT LAKE, UT
NPI
1801653068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225800000X Recreation Therapist
(Licence: UT 13341839-4003)
Enumeration Date
2024-03-04
Last Update Date
2024-03-04
Business Address
JADE M IBARRA
2472 S 300 E
SOUTH SALT LAKE, UT 84115-2895
Phone number: 801-466-2211
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Mailing Address
JADE M IBARRA
2472 S 300 E
SOUTH SALT LAKE, UT 84115-2895
Phone number:
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