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1316240575
JAMES E CARLY
PROVO, UT
NPI
1316240575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: UT 5354572-1206)
Enumeration Date
2010-12-09
Last Update Date
2011-03-04
Business Address
-- JAMES E CARLY PA-C
280 W RIVERPARK DR STE 120
PROVO, UT 84604
Phone number: 801-229-2011
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Mailing Address
-- JAMES E CARLY PA-C
258 S 810 E
SALEM, UT 84653-4001
Phone number: 801-471-3405
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