JERRY DALE CARLSON

SPANISH FORK, UT
NPI1982651287
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: UT  5154950-9934)
Enumeration Date2006-05-30
Last Update Date2007-07-08
Business Address
Dr. JERRY DALE CARLSON O.D.
955 N MAIN ST
SPANISH FORK, UT 84660-1150
Phone number: 801-798-3557
Mailing Address
Dr. JERRY DALE CARLSON O.D.
955 N MAIN ST
SPANISH FORK, UT 84660-1150
Phone number: 801-798-3557
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