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Irelinde Jackson
NPI 1255985859 · on the registry since 2019 · sole proprietor
Practice
- Address
- 3280 W 3500 S Ste E
West Valley City, UT 84119 - Phone
- (801) 979-1351
- Organisation at this address
- Devin L. Davidson, Dmd Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 60
Registry record
- Primary taxonomy
- Community Health Worker
172V00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-07-31
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