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1770108979
TARA CARPENTER
ST GEORGE, UT
NPI
1770108979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: UT 12460765-1206)
Enumeration Date
2020-06-12
Last Update Date
2023-10-11
Business Address
TARA CARPENTER
1630 E 2450 S UNIT 63
ST GEORGE, UT 84790-6993
Phone number: 801-783-9485
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Mailing Address
TARA CARPENTER
1630 E 2450 S UNIT 63
ST GEORGE, UT 84790-6993
Phone number:
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