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1710123211
TRACY DENNIS SORENSEN
LOGAN, UT
NPI
1710123211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: UT 286011-6004)
Enumeration Date
2009-01-05
Last Update Date
2009-01-05
Business Address
-- TRACY DENNIS SORENSEN
655 E 1300 N
LOGAN, UT 84341-2570
Phone number: 435-792-6491
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Mailing Address
-- TRACY DENNIS SORENSEN
655 E 1300 N
LOGAN, UT 84341-2570
Phone number: 435-792-6491
Copy
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