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1982651287
JERRY DALE CARLSON
SPANISH FORK, UT
NPI
1982651287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
152W00000X Optometrist
(Licence: UT 5154950-9934)
Enumeration Date
2006-05-30
Last Update Date
2007-07-08
Business 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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Mailing Address
DR. JERRY DALE CARLSON O.D.
955 N MAIN ST
SPANISH FORK, UT 84660-1150
Phone number: 801-798-3557
Copy
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