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1114355104
CHARLES EUGENE STREAM
LANCASTER, PA
NPI
1114355104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA001924L)
Enumeration Date
2013-10-29
Last Update Date
2013-10-30
Business Address
-- CHARLES EUGENE STREAM PA-C
133 EAST FREDEICK STREET
LANCASTER, PA 17602
Phone number: 717-394-9821
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Mailing Address
-- CHARLES EUGENE STREAM PA-C
133 EAST FREDEICK STREET
LANCASTER, PA 17602
Phone number: 717-394-9821
Copy
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