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1114431665
CHARLES EDWARD BROADNAX
CINCINNATI, OH
NPI
1114431665
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-11-20
Last Update Date
2017-11-20
Business Address
Mr. CHARLES EDWARD BROADNAX
5400 EDALBERT DR
CINCINNATI, OH 45239-7604
Phone number: 513-741-3100
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Mailing Address
Mr. CHARLES EDWARD BROADNAX
5400 EDALBERT DR
CINCINNATI, OH 45239-7604
Phone number: 513-741-3100
Copy
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