ProviderBusinessMailingAddressFaxNumber = '8017799942'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1043623648
DR LARSEN EYE CARE INC
3025 W 75 N
LAYTON
UT
840415747
1720152309
LARSEN
MICHAEL
CRAIG
3025W 75 N
LAYTON
UT
840415747
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