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1275214041
CHARLES AUSTIN PERDUE
MORGANTOWN, WV
NPI
1275214041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-07-26
Last Update Date
2023-07-26
Business Address
CHARLES AUSTIN PERDUE
7103 CHESTNUT HLS
MORGANTOWN, WV 26505-2873
Phone number: 304-206-5614
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Mailing Address
CHARLES AUSTIN PERDUE
7103 CHESTNUT HLS
MORGANTOWN, WV 26505-2873
Phone number:
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