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Organization

CANYON CREST OPTICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SIBYL B NOBLE R.N. (OWNER)
(801) 375-2026
Entity
Organization

Contact information

Practice address
3200 N CANYON RD, SUITE A, PROVO, UT 84604-4571
(801) 375-2026
Mailing address
3200 N CANYON RD, SUITE A, PROVO, UT 84604-4571
(801) 375-2026

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
C65317
UT

Other

Enumeration date
02/22/2008
Last updated
04/23/2009
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