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1386058709
DANIEL RAYMOND CARLSON
LOGAN, UT
NPI
1386058709
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 9085243-1206)
Enumeration Date
2014-06-13
Last Update Date
2019-06-14
Business Address
DANIEL RAYMOND CARLSON PA-C
500 E. 1400 N.
LOGAN, UT 84341
Phone number: 435-716-2000
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Mailing Address
DANIEL RAYMOND CARLSON PA-C
500 E. 1400 N.
LOGAN, UT 84341
Phone number: 435-716-2000
Copy
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