CARISSA EARL

LEHI, UT
NPI1346995842
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  12630302-1206)
Enumeration Date2022-02-14
Last Update Date2022-02-14
Business Address
CARISSA EARL
2183 W MAIN ST
LEHI, UT 84043-6760
Phone number: 385-203-1215
Mailing Address
CARISSA EARL
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604
Phone number: 801-354-8225
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