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1104018308
CARL VAN GILS, DPM, PC
PANGUITCH, UT
NPI
1104018308
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Entity Type
Organization
Authorized Contact
CARL C VAN GILS
President
435-632-6682
Organization Subpart ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: UT 3739380501)
Enumeration Date
2007-08-13
Last Update Date
2007-08-13
Business Address
CARL VAN GILS, DPM, PC
25 N 300 WEST
PANGUITCH, UT 84759
Phone number: 435-632-6682
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Mailing Address
CARL VAN GILS, DPM, PC
31 S REFLECTION WAY
ST GEORGE, UT 84770-8042
Phone number: 435-632-6682
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