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1851158505
CASEY J CAROLAN
BOUNTIFUL, UT
NPI
1851158505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: UT 7598400-2402)
Enumeration Date
2024-02-29
Last Update Date
2024-02-29
Business Address
CASEY J CAROLAN PTA
897 W 4000 S
BOUNTIFUL, UT 84010-8521
Phone number: 801-815-7767
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Mailing Address
CASEY J CAROLAN PTA
897 W 4000 S
BOUNTIFUL, UT 84010-8521
Phone number: 801-815-7767
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