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1184725632
CARLYLE DEREK SWAIN
SOUTH JORDAN, UT
NPI
1184725632
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Other Name
CARL SWAIN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: UT 328411-9934)
Enumeration Date
2006-09-26
Last Update Date
2007-07-08
Business Address
Dr. CARLYLE DEREK SWAIN O.D.
11328 S JORDAN GTWY
SOUTH JORDAN, UT 84095-4112
Phone number: 801-571-1364
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Mailing Address
Dr. CARLYLE DEREK SWAIN O.D.
1107 W 8600 S
WEST JORDAN, UT 84088-8432
Phone number: 801-860-5100
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