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1194718270
CHARLES C MAULDIN
SPRINGFIELD, MO
NPI
1194718270
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: MO MDR6J28)
Enumeration Date
2005-08-24
Last Update Date
2007-09-27
Business Address
Dr. CHARLES C MAULDIN M.D.
1308 N GLENSTONE AVE
SPRINGFIELD, MO 65802-2130
Phone number: 417-864-4100
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Mailing Address
Dr. CHARLES C MAULDIN M.D.
5015 S GLENHAVEN AVE
SPRINGFIELD, MO 65804-7800
Phone number: 417-881-7808
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