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1174719033
CHARLES HENRY DAVIS
BOSSIER CITY, LA
NPI
1174719033
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225000000X Orthotic Fitter
Additional Taxonomies
222Z00000X Orthotist
224P00000X Prosthetist
Enumeration Date
2007-09-24
Last Update Date
2007-10-27
Business Address
Mr. CHARLES HENRY DAVIS
4859 SHED RD SUITE 200
BOSSIER CITY, LA 71111
Phone number: 318-746-5000
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Mailing Address
Mr. CHARLES HENRY DAVIS
4859 SHED RD SUITE 200
BOSSIER, LA 71111-4859
Phone number: 318-746-5000
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