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Individual

VICKIE D SORENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LDEM CPM

Contact information

Practice address
1800 W ROYAL HUNTE DR, CEDAR CITY, UT 84720-1800
(435) 586-4854
(435) 865-1629
Mailing address
1800 W ROYAL HUNTE DR, CEDAR CITY, UT 84720-1800
(435) 586-4854
(435) 865-1629

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
176B00000X
Midwife
Primary
8858598-3400
UT
261QB0400X
Birthing Clinic/Center

Other

Enumeration date
01/23/2009
Last updated
02/04/2014
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