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1124678511
CAROLYN CELESTINE CHARLES
LAKE JACKSON, TX
NPI
1124678511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 143100)
Enumeration Date
2019-09-17
Last Update Date
2019-09-17
Business Address
CAROLYN CELESTINE CHARLES FNP-C
106 CIRCLE WAY ST
LAKE JACKSON, TX 77566-5266
Phone number: 979-824-8291
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Mailing Address
CAROLYN CELESTINE CHARLES FNP-C
PO BOX 252
LAKE JACKSON, TX 77566-0252
Phone number: 979-824-8291
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