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1235122094
CHARLES D RADIS
PORTLAND, ME
NPI
1235122094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: ME 1041)
Enumeration Date
2005-08-26
Last Update Date
2010-08-26
Business Address
Dr. CHARLES D RADIS DO
51 SEWALL ST
PORTLAND, ME 04102-2643
Phone number: 207-774-5761
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Mailing Address
Dr. CHARLES D RADIS DO
51 SEWALL ST
PORTLAND, ME 04102-2643
Phone number: 207-774-5761
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