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1861792665
SUSAN CRAWFORD CHORTKOFF
SALT LAKE CITY, UT
NPI
1861792665
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Former Name
SUSAN LEIGH CRAWFORD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207W00000X Ophthalmology
(Licence: UT 7116185-1205)
Enumeration Date
2010-10-26
Last Update Date
2021-11-12
Business Address
SUSAN CRAWFORD CHORTKOFF M.D.
JOHN A MORAN EYE CTR 65 NORTH MARIO CAPECCHI DRIVE
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-2352
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Mailing Address
SUSAN CRAWFORD CHORTKOFF M.D.
JOHN A MORAN EYE CTR 65 NORTH MARIO CAPECCHI DRIVE
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-2352
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