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1164650685
KEVIN CLIFFORD SHOSTED
SALT LAKE CITY, UT
NPI
1164650685
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: UT 7385204-9934)
Enumeration Date
2009-06-23
Last Update Date
2012-05-04
Business Address
Dr. KEVIN CLIFFORD SHOSTED O.D.
2828 W 4700 S SUITE D
SALT LAKE CITY, UT 84118-2154
Phone number: 801-281-3937
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Mailing Address
Dr. KEVIN CLIFFORD SHOSTED O.D.
2828 W 4700 S SUITE D
SALT LAKE CITY, UT 84118-2154
Phone number: 801-281-3937
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