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Individual
DR. MICHELE HOLLEY CARR
Active
Individual
DR. MICHELE HOLLEY CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CD,DPM
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
5765339-4901
UT
213E00000X
Podiatrist
Primary
5765339-0501
UT
213E00000X
Podiatrist
E4105
CA
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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