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Individual

MR. MARK EDWIN CARLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
3108 CLEARWATER DR STE B2, PRESCOTT, AZ 86305-7170
(928) 777-9890
(928) 777-9891
Mailing address
3108 CLEARWATER DR STE B2, PRESCOTT, AZ 86305-7170
(928) 777-9890
(928) 777-9891

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2270
AZ

Other

Enumeration date
11/24/2008
Last updated
11/24/2008
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