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Patrick Jackman
NPI 1437668365 · on the registry since 2017
Practice
- Address
- 548 N 1100 E
Washington, UT 84780 - Phone
- (435) 275-4458
- Fax
- (435) 275-4407
- Organisation at this address
- Autumn Park Inc
Autumn Park Assisted Living LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 3747A0650X
3747A0650X
- Sex
- Male
- Record last updated
- 2017-09-22
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