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Individual

JAMES CARRIGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
12647 N 113TH DR, YOUNGTOWN, AZ 85363-1128
(623) 262-5057
Mailing address
12647 N 113TH DR, YOUNGTOWN, AZ 85363-1128
(623) 262-5057

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D01084465
AZ
172A00000X
Driver

Other

Enumeration date
09/25/2024
Last updated
09/25/2024
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