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1164086716
CHARLES RAY STRANGE
WIGGINS, MS
NPI
1164086716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 903317)
Enumeration Date
2019-04-30
Last Update Date
2019-04-30
Business Address
CHARLES RAY STRANGE
1130 FRONTAGE DR W
WIGGINS, MS 39577-8165
Phone number: 601-716-8012
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Mailing Address
CHARLES RAY STRANGE
PO BOX 1258
WAYNESBORO, TN 38485-1258
Phone number: 931-253-1110
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