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1205895208
CHARLES PITTMAN LAWLESS
POCATELLO, ID
NPI
1205895208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
207W00000X Ophthalmology
(Licence: ID M3434)
Enumeration Date
2006-03-20
Last Update Date
2007-07-08
Business Address
CHARLES PITTMAN LAWLESS MD
1777 EAST CLARK STEET SUITE 310
POCATELLO, ID 83201-3357
Phone number: 208-232-4133
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Mailing Address
CHARLES PITTMAN LAWLESS MD
1777 EAST CLARK STEET SUITE 310
POCATELLO, ID 83201-3357
Phone number: 208-232-4133
Copy
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