NICHOLAS LEO KOSHUTA

PRESCOTT VALLEY, AZ
NPI1992701494
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: AZ  1264)
Enumeration Date2005-06-21
Last Update Date2007-07-08
Business Address
-- NICHOLAS LEO KOSHUTA O.D.
2820 N GLASSFORD HILL RD STE 101
PRESCOTT VALLEY, AZ 86314-2256
Phone number: 928-775-5606
Mailing Address
-- NICHOLAS LEO KOSHUTA O.D.
2820 N GLASSFORD HILL RD STE 101
PRESCOTT VALLEY, AZ 86314-2256
Phone number: 928-775-5606
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