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Individual

DR. CARLYLE DEREK SWAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
11328 S JORDAN GTWY, SOUTH JORDAN, UT 84095-4112
(801) 571-1364
Mailing address
1107 W 8600 S, WEST JORDAN, UT 84088-8432
(801) 860-5100

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
328411-9934
UT

Other

Enumeration date
09/26/2006
Last updated
07/08/2007
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