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1225635436
CHARLES EDWARD SIMONS
TACOMA, WA
NPI
1225635436
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2020-10-01
Last Update Date
2020-10-01
Business Address
Mr. CHARLES EDWARD SIMONS
711 S 25TH ST
TACOMA, WA 98405-4306
Phone number: 253-536-2881
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Mailing Address
Mr. CHARLES EDWARD SIMONS
711 S 25TH ST
TACOMA, WA 98405-4306
Phone number: 253-536-2881
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