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1073608659
CARL THAYNE WILSON
PROVO, UT
NPI
1073608659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: UT 88-179937-1205)
Enumeration Date
2006-10-03
Last Update Date
2012-10-15
Business Address
-- CARL THAYNE WILSON MD
1034 NORTH 500 WEST UTAH VALLEY REGIONAL MEDICAL CENTER
PROVO, UT 84604
Phone number: 801-507-5248
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Mailing Address
-- CARL THAYNE WILSON MD
3340 NORTH CENTER ST #800
LEHI, UT 84043-7406
Phone number: 801-990-1911
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