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NPI Profile for CARYL B PARKS in FORT WASHAKIE, WY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical Technologist |
246QM0706X |
| NPI Number | 1720390479 |
|
| Status | Active | |
| Credentials | MT(ASCP) | |
| Entity | Individual | |
| Enumeration date | 07/10/2010 | |
| Last updated | 07/10/2010 - About 16 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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CARYL B PARKS
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| CHRISTOPHER G NELSON, MT(ASCP) 29 BLACK COAL RD FORT WASHAKIE, WY |
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CARYL B PARKS, MT(ASCP)