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Camille Jackson
NPI 1902252950 · on the registry since 2016
Practice
- Address
- 5199 W Oak Grove Ln
Highland, UT 84003 - Phone
- (385) 223-0979
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Also registered as
- 224Z00000X
224Z00000X - Licence states on file
- UT, CA, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-05-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah