MICHAEL GREEN THAIN

SALT LAKE CITY, UT
NPI1356415434
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: UT  1089949934)
Enumeration Date2006-11-20
Last Update Date2007-07-08
Business Address
-- MICHAEL GREEN THAIN OD
6895 SO STATE
SALT LAKE CITY, UT 84047
Phone number: 801-255-8525
Mailing Address
-- MICHAEL GREEN THAIN OD
12964 HUNTER HOLLOW WAY
DRAPER, UT 84020
Phone number: 801-572-0594
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