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1760542609
MERLIN LEON MCENTIRE
PROVO, UT
NPI
1760542609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: UT 366355-9934)
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
-- MERLIN LEON MCENTIRE O.D.
1200 TOWNE CENTRE BLVD SPC 2104
PROVO, UT 84601-2985
Phone number: 801-852-4405
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Mailing Address
-- MERLIN LEON MCENTIRE O.D.
1200 TOWNE CENTRE BLVD SPC 2104
PROVO, UT 84601-2985
Phone number: 801-852-4405
Copy
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