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1104150770
TERRY M HANSEN OD LLC
SALT LAKE CITY, UT
NPI
1104150770
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Entity Type
Organization
Authorized Contact
TERRY MILO HANSEN
Owner
801-966-6201
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: UT 109507-9934)
Enumeration Date
2009-09-29
Last Update Date
2009-09-29
Business Address
TERRY M HANSEN OD LLC
2828 W 4700 S SUITE D
SALT LAKE CITY, UT 84118-2154
Phone number: 801-966-6201
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Mailing Address
TERRY M HANSEN OD LLC
2828 W 4700 S SUITE D
SALT LAKE CITY, UT 84118-2154
Phone number: 801-966-6201
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