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1154634269
CHARLES DEGAUGH
BUFFALO, NY
NPI
1154634269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 301695)
Enumeration Date
2010-07-17
Last Update Date
2010-07-17
Business Address
-- CHARLES DEGAUGH LPN
66 SUMMER ST APT. 7K
BUFFALO, NY 14209-2229
Phone number: 585-576-3577
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Mailing Address
-- CHARLES DEGAUGH LPN
66 SUMMER ST APT. 7K
BUFFALO, NY 14209-2229
Phone number: 585-576-3577
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