CHARLES GRADY WORTMAN

APO, AE
NPI1265666515
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2009-05-14
Last Update Date2009-05-14
Business Address
-- CHARLES GRADY WORTMAN IDMT
52 MDG UNIT 3865
APO, AE 09126-3865
Phone number: 0657-590-2919
Mailing Address
-- CHARLES GRADY WORTMAN IDMT
52 MDG UNIT 3865
APO, AE 09126-3865
Phone number:
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