Jacob Sporcich Black
Medical Practice in Salt Lake City, UT

License number
Utah 4727603-6201
Issued Date
May 30, 2000
Expiration Date
Nov 30, 2002
Category
Health Care Assistant
Type
Health Care Assistant - Obsolete
Address
Address
Salt Lake City, UT
Education
ETHAN M ANDREWS #3118
LicenseFiles verified this license of Dec 2, 2016 at the Utah Division of Occupational and Professional Licensing.

Personal information

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Name
Address
Phone
Jacob Black, age 35
527 E 1200 N, Bountiful, UT 84010
(801) 295-3398
Jacob Black, age 40
515 W 4770 N, Provo, UT 84604
(801) 222-9272
Jacob Black, age 55
4362 W 8970 S, West Jordan, UT 84088
(801) 636-0707
Jacob Black
12030 S 3280 W, Riverton, UT 84065
(801) 955-5622
Jacob Black, age 45
224 N 1120 E, Orem, UT 84097
(801) 376-1096

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