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Individual
DR. JACOB WOOTEN
Active
Individual
DR. JACOB WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9167751-1202
UT
111N00000X
Chiropractor
CHIA-2115
ID
Other
Enumeration date
11/24/2014
Last updated
09/29/2023
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