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NPI Profile for PAUL CARLISLE JR in INDEPENDENCE, MO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI Number | 1477793636 |
|
| Status | Active | |
| Credentials | ED.D. | |
| Entity | Individual | |
| Enumeration date | 03/02/2009 | |
| Last updated | 03/02/2009 - About 17 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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PAUL CARLISLE JR
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PAUL CARLISLE JR, ED.D.