JACOB SANDERSON

LOGAN, UT
NPI1265094742
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: UT  6231344-4405)
Enumeration Date2019-07-03
Last Update Date2019-07-03
Business Address
MR. JACOB SANDERSON FNP-BC
1400 N 500 E
LOGAN, UT 84341-2455
Phone number: 435-716-2000
Mailing Address
MR. JACOB SANDERSON FNP-BC
573 S 1080 E
SMITHFIELD, UT 84335-5103
Phone number: 435-757-3784
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