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Individual

MR. CATLIN CLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1/4 E. OF MP 452 US 191, CHINLE, AZ 86503-2897
(928) 674-5357
(928) 674-5357
Mailing address
PO BOX 2897, CHINLE, AZ 86503-2897
(928) 674-5357
(928) 674-5357

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
07/26/2010
Last updated
07/26/2010
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