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1356415434
MICHAEL GREEN THAIN
SALT LAKE CITY, UT
NPI
1356415434
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: UT 1089949934)
Enumeration Date
2006-11-20
Last Update Date
2007-07-08
Business Address
-- MICHAEL GREEN THAIN OD
6895 SO STATE
SALT LAKE CITY, UT 84047
Phone number: 801-255-8525
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Mailing Address
-- MICHAEL GREEN THAIN OD
12964 HUNTER HOLLOW WAY
DRAPER, UT 84020
Phone number: 801-572-0594
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