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Individual

LEONARD KEITH SORENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
9151 S QUARRY BEND ROAD, SANDY, UT 84094
(801) 352-4205
Mailing address
9764 LAURA LANE DR, SANDY, UT 84092-3550
(801) 942-0874

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1437091701
UT

Other

Enumeration date
06/26/2007
Last updated
07/08/2007
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