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1952766362
NATHAN GREEN O.D. P.C.
SOUTH SALT LAKE, UT
NPI
1952766362
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Entity Type
Organization
Authorized Contact
NATHAN RAY GREEN
President
801-401-1068
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: UT 5340358-9934)
Enumeration Date
2015-12-30
Last Update Date
2015-12-30
Business Address
NATHAN GREEN O.D. P.C.
241 W 2100 S
SOUTH SALT LAKE, UT 84115-1830
Phone number: 801-401-1068
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Mailing Address
NATHAN GREEN O.D. P.C.
241 W 2100 S
SOUTH SALT LAKE, UT 84115-1830
Phone number:
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