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1730431065
BALTAZAR VEGA
OREM, UT
NPI
1730431065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: UT 6779772-9934)
Enumeration Date
2012-10-10
Last Update Date
2019-11-02
Business Address
DR. BALTAZAR VEGA OD
560 S STATE ST STE A265
OREM, UT 84058
Phone number: 801-820-0920
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Mailing Address
DR. BALTAZAR VEGA OD
560 S STATE ST STE A265
OREM, UT 84058-6391
Phone number: 801-820-0920
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