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1386694677
SCOTT ROBERTS HADERLIE
BRIGHAM CITY, UT
NPI
1386694677
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
152W00000X Optometrist
(Licence: UT 1142339934)
Enumeration Date
2006-05-10
Last Update Date
2007-07-08
Business Address
DR. SCOTT ROBERTS HADERLIE O.D.
747 S MAIN ST
BRIGHAM CITY, UT 84302-3359
Phone number: 435-723-1800
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Mailing Address
DR. SCOTT ROBERTS HADERLIE O.D.
747 S MAIN ST
BRIGHAM CITY, UT 84302-3359
Phone number: 435-723-1800
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