Individual
JAMIE ALAN SORENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
821 IOWA AVE, ONAWA, IA 51040-1629
(712) 423-1131
Mailing address
1700 GRANITE ST, ONAWA, IA 51040-1767
(712) 423-3079
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18523
IA
Other
Enumeration date
02/24/2007
Last updated
07/08/2007
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