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1164845517
BRUCE WAYNE CARLIN
COALVILLE, UT
NPI
1164845517
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: UT 160374-1205)
Enumeration Date
2014-01-21
Last Update Date
2020-04-15
Business Address
Dr. BRUCE WAYNE CARLIN MD
375 OLD FARM LN
COALVILLE, UT 84017-6706
Phone number: 360-355-9354
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Mailing Address
Dr. BRUCE WAYNE CARLIN MD
PO BOX 412
CAMAS, WA 98607-0049
Phone number: 360-590-3095
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