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1073813291
CHARLES RUSSELL KING
CUMBERLAND, MD
NPI
1073813291
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
Enumeration Date
2010-10-22
Last Update Date
2010-10-22
Business Address
Mr. CHARLES RUSSELL KING CP
52 MARION ST
CUMBERLAND, MD 21502-2548
Phone number: 301-707-0982
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Mailing Address
Mr. CHARLES RUSSELL KING CP
725 PARK ST SUITE 252
CUMBERLAND, MD 21502-3172
Phone number: 301-707-0982
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