Individual
CASS CARROL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
464 S MAIN ST, TOOELE, UT 84074-2748
(435) 833-0202
Mailing address
2816 W 6050 S, ROY, UT 84067-1054
(801) 774-8953
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
UT
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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