MICHAEL CRAIG LARSEN AN OPTOMETRIC CORPORATION
Optometry at Skymaster Cir, Fairfield, CA

License number
California 11165
Category
Optometry
Type
Optometrist
Owner
Name: MICHAEL LARSEN OD
Title: OWNER
Phone: (801) 444-1411
Address
Address 2
461 Skymaster Cir, Fairfield, CA 94535
675 S 600 E, Layton, UT 84041
National Provider ID: 1518291772
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Michael Craig Larsen An Optometric Corporation

Layton, UT

Registration:
Jun 15, 2009
Addresses:
675 S 600 E, Layton, UT 84041
3025 W 75 N, Layton, UT 84041
State ID:
03211478
Business type:
Articles of Incorporation
Entity State:
CA
President:
Michael Craig Larsen (President)
Agent:
Phuch Hong Quach

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