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1811309578
JESSICA LUM
SALT LAKE CITY, UT
NPI
1811309578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: HI OT-1078)
Enumeration Date
2014-05-28
Last Update Date
2014-05-28
Business Address
-- JESSICA LUM
1952 E 7000 S
SALT LAKE CITY, UT 84121-6877
Phone number: 801-942-3311
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Mailing Address
-- JESSICA LUM
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number: 801-942-3311
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