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1851783203
JACKIE IMLAY
ST GEORGE, UT
NPI
1851783203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 00035640)
Enumeration Date
2015-02-23
Last Update Date
2015-02-23
Business Address
-- JACKIE IMLAY
321 N MALL DR STE P101
ST GEORGE, UT 84790-7338
Phone number: 435-673-4809
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Mailing Address
-- JACKIE IMLAY
321 N MALL DR STE P101
ST GEORGE, UT 84790-7338
Phone number: 435-673-4809
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