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1013071885
CHARLES MIKELL BOVA
WEST VALLEY CITY, UT
NPI
1013071885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2081P2900X Physical Medicine & Rehabilitation Pain Medicine
(Licence: UT 185699)
Enumeration Date
2006-12-19
Last Update Date
2007-07-08
Business Address
DR. CHARLES MIKELL BOVA M.D.
3336 PIONEER PKWY SUITE 204
WEST VALLEY CITY, UT 84120-2000
Phone number: 801-964-3249
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Mailing Address
DR. CHARLES MIKELL BOVA M.D.
3065 OAK RIM LN
PARK CITY, UT 84060-6804
Phone number: 435-655-8648
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