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Organization

SOUND OXYGEN SERVICE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEREMY K JENSEN (CEO)
(253) 939-2752
Entity
Organization

Contact information

Practice address
930 S STATE ST, STE 120, OREM, UT 84097-7006
(801) 696-8617
(801) 766-6343
Mailing address
4108 B PL NW, STE B, AUBURN, WA 98001-2454
(253) 939-2752
(253) 939-4135

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
7017897-1714
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1164671863
UT
01
7017897-1714
UTAH PHARMACY BOARD
UT
Enumeration date
09/17/2008
Last updated
05/22/2009
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