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Individual

DR. JEREMY PAUL GERRITSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
12391 S 4000 W, RIVERTON, UT 84096-7012
(801) 302-1700
(801) 302-1714
Mailing address
12391 S 4000 W, RIVERTON, UT 84096-7012
(801) 302-1700
(801) 302-1714

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
70382989934
UT

Other

Enumeration date
06/25/2008
Last updated
05/13/2013
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