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1922764646
JESSICA J TAK
KAYSVILLE, UT
NPI
1922764646
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174N00000X Lactation Consultant, Non-RN
(Licence: L-110720)
Enumeration Date
2021-11-17
Last Update Date
2021-11-17
Business Address
JESSICA J TAK IBCLC
1513 S 700 E
KAYSVILLE, UT 84037-3000
Phone number: 801-864-5094
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Mailing Address
JESSICA J TAK IBCLC
1513 S 700 E
KAYSVILLE, UT 84037-3000
Phone number: 801-864-5094
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