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1083196018
CHARLES ROBERT WICK
FAIRBORN, OH
NPI
1083196018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-09-06
Last Update Date
2022-07-18
Business Address
CHARLES ROBERT WICK
188 W HEBBLE AVE
FAIRBORN, OH 45324-4960
Phone number: 937-226-9787
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Mailing Address
CHARLES ROBERT WICK
PO BOX 396
SPRINGBORO, OH 45066-0396
Phone number:
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