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Individual

AUBRI ANN STCLAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ABOC

Contact information

Practice address
1036 E WADDELL ST, EAGLE MOUNTAIN, UT 84005-4239
(801) 901-0911
(801) 206-2950
Mailing address
1036 E WADDELL ST, EAGLE MOUNTAIN, UT 84005-4239
(801) 901-0911
(801) 206-2950

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
161061
KY

Other

Enumeration date
08/06/2019
Last updated
08/06/2019
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