MICHAEL CRAIG LARSEN AN OPTOMETRIC CORPORATION

TRAVIS AFB, CA
NPI1518291772
Entity TypeOrganization
Authorized ContactMICHAEL LARSEN
Owner
801-444-1411
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: CA  11165)
Enumeration Date2009-09-21
Last Update Date2009-09-21
Business Address
MICHAEL CRAIG LARSEN AN OPTOMETRIC CORPORATION
461 SKYMASTER CIR
TRAVIS AFB, CA 94535-1909
Phone number: 707-437-4095
Mailing Address
MICHAEL CRAIG LARSEN AN OPTOMETRIC CORPORATION
675 S 600 E
LAYTON, UT 84041-4278
Phone number: 801-444-1411
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