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1023318334
CHARLES MOUSSALLEM
FORT SMITH, AR
NPI
1023318334
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: AR E-8013)
Enumeration Date
2010-11-02
Last Update Date
2017-11-27
Business Address
-- CHARLES MOUSSALLEM M.D
1500 DODSON AVE SUITE 280
FORT SMITH, AR 72901-5182
Phone number: 479-709-7480
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Mailing Address
-- CHARLES MOUSSALLEM M.D
1500 DODSON AVE # 280
FORT SMITH, AR 72901-5182
Phone number: 479-709-7399
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