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1053723262
ROSS JEX CHATWIN
SYRACUSE, UT
NPI
1053723262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: UT 9033347-9934)
Enumeration Date
2014-05-21
Last Update Date
2015-11-02
Business Address
-- ROSS JEX CHATWIN OD
1792 W 1700 S STE 202
SYRACUSE, UT 84075-9651
Phone number: 801-774-8707
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Mailing Address
-- ROSS JEX CHATWIN OD
2178 S 900 E STE 4
SALT LAKE CITY, UT 84106-2388
Phone number: 801-484-2020
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