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1508973397
STEPHEN BROCKBANK
SALT LAKE CITY, UT
NPI
1508973397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: UT 5601485-9934)
Enumeration Date
2006-08-25
Last Update Date
2013-06-04
Business Address
Dr. STEPHEN BROCKBANK O.D.
222 S MAIN ST SUITE 110
SALT LAKE CITY, UT 84101-2174
Phone number: 801-456-2020
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Mailing Address
Dr. STEPHEN BROCKBANK O.D.
2847 N 1050 E
LEHI, UT 84043-4033
Phone number: 801-456-2020
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