MICHAEL T CHISM

MURRAY, UT
NPI1770866840
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2011-09-24
Last Update Date2015-01-22
Business Address
-- MICHAEL T CHISM Optometry student
6344 S 900 E
MURRAY, UT 84121-2439
Phone number: 801-892-8222
Mailing Address
-- MICHAEL T CHISM Optometry student
5924 S 1475 W
TAYLORSVILLE, UT 84123-5380
Phone number: 909-631-7188
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