JACKIE RUSSELL COAHRAN

OGDEN, UT
NPI1922294750
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-09-14
Last Update Date2007-09-14
Business Address
Mrs. JACKIE RUSSELL COAHRAN B.S.
237 26TH ST
OGDEN, UT 84401-3105
Phone number: 801-625-3700
Mailing Address
Mrs. JACKIE RUSSELL COAHRAN B.S.
237 26TH ST
OGDEN, UT 84401-3105
Phone number: 801-625-3700