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1821076555
NATHAN RAY GREEN
SALT LAKE CITY, UT
NPI
1821076555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: UT 5340358-9934)
Enumeration Date
2006-01-03
Last Update Date
2007-07-08
Business Address
-- NATHAN RAY GREEN O.D.
1818 S 300 W
SALT LAKE CITY, UT 84115-1805
Phone number: 801-485-9757
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Mailing Address
-- NATHAN RAY GREEN O.D.
1818 S 300 W
SALT LAKE CITY, UT 84115-1805
Phone number: 801-485-9757
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