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AEG UTAH PROFESSIONAL INC

Organization (NPI-2) Active

Optometrist

Provider Information

NPI Number
1154212777
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
1300 N 200 E STE 104, LOGAN, UT, 843412460
Phone
(435) 752-6453

Specialties & Taxonomies

Optometrist Primary

All Addresses

MAILING

111 E 4TH ST STE 440

ALTON, IL, 620026206

LOCATION

1300 N 200 E STE 104

LOGAN, UT, 843412460

(435) 752-6453