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Individual

CARLENE JACOBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
670 E 3900 S STE 310, SALT LAKE CITY, UT 84107-1981
(801) 266-3939
Mailing address
1667 W 400 N, MARRIOTT SLATERVILLE, UT 84404-3412
(801) 205-3866

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
7612108-3102
UT
163W00000X
Registered Nurse
846611
CA

Other

Enumeration date
09/11/2023
Last updated
09/11/2023
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