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Organization

KEMP OPTICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SANDRA CASTLEBERRY A.B.O.C. (MANAGER/OPTICIAN)
(801) 374-2666
Entity
Organization

Contact information

Practice address
215 W 940 N, SUITE 1, PROVO, UT 84604-3325
(801) 374-2666
Mailing address
215 W 940 N, SUITE 1, PROVO, UT 84604-3325
(801) 374-2666

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
08/04/2006
Last updated
08/12/2008
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