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1033168653
CHARLES C OUTLAW
DOTHAN, AL
NPI
1033168653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL 1592)
Enumeration Date
2006-05-09
Last Update Date
2010-02-01
Business Address
-- CHARLES C OUTLAW PT
3118 ROSS CLARK CIR
DOTHAN, AL 36303-3049
Phone number: 334-673-2242
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Mailing Address
-- CHARLES C OUTLAW PT
3118 ROSS CLARK CIR
DOTHAN, AL 36303-3049
Phone number: 334-673-2242
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