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1952623043
CAROL RAE NEILLY
GARLAND, TX
NPI
1952623043
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Former Name
CAROL RAE STAHL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA02546)
Enumeration Date
2010-02-17
Last Update Date
2011-08-23
Business Address
-- CAROL RAE NEILLY PA-C
601 CLARA BARTON BLVD SUITE 200
GARLAND, TX 75042-5738
Phone number: 972-272-6561
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Mailing Address
-- CAROL RAE NEILLY PA-C
601 CLARA BARTON BLVD SUITE 200
GARLAND, TX 75042-5738
Phone number: 972-272-6561
Copy
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