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1225215502
CHARLES WILLIAM BOLD
SOUND BEACH, NY
NPI
1225215502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 595601 1)
Enumeration Date
2008-01-29
Last Update Date
2008-01-29
Business Address
Mr. CHARLES WILLIAM BOLD RN
125 LYNBROOK DRIVE
SOUND BEACH, NY 11789-1722
Phone number: 631-842-2946
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Mailing Address
Mr. CHARLES WILLIAM BOLD RN
125 LYNBROOK DRIVE
SOUND BEACH, NY 11789-1722
Phone number: 631-842-2946
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