CAMILLE JACKSON

HIGHLAND, UT
NPI1902252950
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: UT  9082424-4202)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: CA  3509)
224Z00000X Occupational Therapy Assistant
(Licence: NC  10262)
Enumeration Date2016-05-09
Last Update Date2016-05-09
Business Address
-- CAMILLE JACKSON
5199 W OAK GROVE LN
HIGHLAND, UT 84003-9469
Phone number: 385-223-0979
Mailing Address
-- CAMILLE JACKSON
5199 W OAK GROVE LN
HIGHLAND, UT 84003-9469
Phone number: 385-223-0979
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