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1144303512
CHARLES SAMUEL FUSSELL
CHATTANOOGA, TN
NPI
1144303512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TN DS002432)
Enumeration Date
2006-10-21
Last Update Date
2007-07-08
Business Address
Dr. CHARLES SAMUEL FUSSELL D.D.S.
4610 BRAINERD RD
CHATTANOOGA, TN 37411-3835
Phone number: 423-698-8619
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Mailing Address
Dr. CHARLES SAMUEL FUSSELL D.D.S.
4610 BRAINERD RD
CHATTANOOGA, TN 37411-3835
Phone number: 423-698-8619
Copy
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