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1922294750
JACKIE RUSSELL COAHRAN
OGDEN, UT
NPI
1922294750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-09-14
Last Update Date
2007-09-14
Business Address
MRS. JACKIE RUSSELL COAHRAN B.S.
237 26TH ST
OGDEN, UT 84401-3105
Phone number: 801-625-3700
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Mailing Address
MRS. JACKIE RUSSELL COAHRAN B.S.
237 26TH ST
OGDEN, UT 84401-3105
Phone number: 801-625-3700
Copy
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