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1215640651
CHARLES EDWARD HAYWOOD
FRESNO, CA
NPI
1215640651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
276400000X Rehabilitation, Substance Use Disorder Unit
Enumeration Date
2022-12-30
Last Update Date
2022-12-30
Business Address
CHARLES EDWARD HAYWOOD
5714 W BEECHWOOD AVE
FRESNO, CA 93722-2616
Phone number: 559-281-5438
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Mailing Address
CHARLES EDWARD HAYWOOD
1665 W WRENWOOD AVE
FRESNO, CA 93711-2939
Phone number: 559-281-5438
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