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1205468725
STEPHANIE ELIZABETH CARL
MISSOULA, MT
NPI
1205468725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: MT MED-PAC-LIC-80026)
Enumeration Date
2020-02-12
Last Update Date
2020-03-04
Business Address
STEPHANIE ELIZABETH CARL PHYSICIAN ASSISTANT
500 W BROADWAY ST
MISSOULA, MT 59802-4008
Phone number: 406-329-5615
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Mailing Address
STEPHANIE ELIZABETH CARL PHYSICIAN ASSISTANT
500 W BROADWAY ST STE 320
MISSOULA, MT 59802-4003
Phone number: 406-329-5615
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