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Individual

DR. JACOB WOOTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
6243 S REDWOOD RD STE 230, TAYLORSVILLE, UT 84123-6410
(801) 878-9565
Mailing address
6243 S REDWOOD RD STE 230, TAYLORSVILLE, UT 84123-6410
(801) 878-9565

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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