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1841849916
JACLYN LONG
WEST VALLEY CITY, UT
NPI
1841849916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 11399812-2401)
Enumeration Date
2019-09-10
Last Update Date
2019-09-10
Business Address
JACLYN LONG DPT
3540 S 4000 W STE 340
WEST VALLEY CITY, UT 84120-3287
Phone number: 801-417-5017
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Mailing Address
JACLYN LONG DPT
PO BOX 540640
NORTH SALT LAKE, UT 84054-0640
Phone number: 801-987-8600
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