Individual
JACOB DYLAN SORENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
668 E 770 S, PAYSON, UT 84651-1648
(385) 368-6818
Mailing address
668 E 770 S, PAYSON, UT 84651-1648
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
14251069-3102
UT
Other
Enumeration date
02/13/2026
Last updated
02/13/2026
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