Individual
ROBERT J CARLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1307 CONNEMARA LN, OREGON, WI 53575-2589
(530) 675-4827
Mailing address
1307 CONNEMARA LN, OREGON, WI 53575-2589
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/15/2014
Last updated
07/17/2014
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