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Joshua Jorgensen, OPTICIANABO,NCLE
Optician in Farr West, Utah
NPI 1033812797

Joshua Jorgensen is a Optician based in Farr West, UT and is specialized in Optician. Joshua Jorgensen practices in Farr West, UT and has the professional credentials of OPTICIANABO,NCLE. The NPI Number for Joshua Jorgensen is 1033812797 and holds a License No. 178584 (Utah).

The current practice location address for Joshua Jorgensen is 2754 W 3500 N, Farr West, UT and can be reached out via phone at 801-558-6357.

Location: 2754 W 3500 N, Farr West, UT, 84404-8612
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033812797
Provider Name
Joshua Jorgensen
Credential
OPTICIANABO,NCLE
Provider Entity Type
Individual
Gender
Male
Address
2754 W 3500 N, Farr West, UT, 84404-8612
Phone Number
801-558-6357
Fax Number
Provider Enumeration Date
03/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2754 W 3500 N
City
Farr West
State
Utah
Zip
84404-8612
Phone Number
801-558-6357
Fax Number
person
Provider Business Mailing Address Details
Address
2754 W 3500 N
City
Farr West
State
Utah
Zip
84404-8612
Phone Number
801-558-6357
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
178584 (Utah)
Definition
Definition to come...
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