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1104505221
CARLY ROTH
RENO, NV
NPI
1104505221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NV PA2913)
Enumeration Date
2023-07-17
Last Update Date
2023-12-12
Business Address
CARLY ROTH
1055 S WELLS AVE
RENO, NV 89502-2550
Phone number: 775-329-6300
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Mailing Address
CARLY ROTH
680 S ROCK BLVD
RENO, NV 89502-4113
Phone number: 775-329-6300
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